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MEDVIDI HEALTH PC NPI 1225792898


NPI Information

NPI: 1225792898
Provider Name: MEDVIDI HEALTH PC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
1884 MARKET ST
SAN FRANCISCO, CA
ZIP 94102
Phone: (415) 554-0171
Get Directions

MEDVIDI HEALTH PC is a prescribing (medical) psychologist in San Francisco, CA. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. MEDVIDI HEALTH PC NPI is 1225792898. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1884 MARKET ST
SAN FRANCISCO, CA
ZIP 94102-227
Phone: (415) 554-0171
Fax: (415) 449-3540

The provider's authorized official is Ed J Ortiz .
The authorized official title is Operations Manager and has the following contact phone number (415) 910-9362.

The enumeration date for this NPI number is 10/28/2021 and was last updated on 10/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP0016XPsychologistPrescribing (Medical)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11457896128MEDICAIDCOLORADO
21295846822MEDICAIDCALIFORNIA
31205923216MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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