| Hampton Health Ltd | |
|
1700 California St Ste. 470 San Francisco CA 94109-4590 | |
| (415) 202-9990 | |
| (415) 843-0548 |
| Full Name | Hampton Health Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 1700 California St, San Francisco, California |
| Authorized Official Name and Position | John H Fullerton (OWNER) |
| Authorized Official Contact | 4152029990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Health Ltd 1700 California St Ste. 470 San Francisco CA 94109-4590 Ph: (415) 202-9990 | Hampton Health Ltd 1700 California St Ste. 470 San Francisco CA 94109-4590 Ph: (415) 202-9990 |
| NPI Number | 1013142280 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 10/30/2014 |
| Medicare PECOS PAC ID | 0840342051 |
|---|---|
| Medicare Enrollment ID | O20090722000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013142280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | G59000 (California) | Primary |
| Provider Name | John H Fullerton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588756266 PECOS PAC ID: 4284627084 Enrollment ID: I20110210000080 |
| Provider Name | Theresa Kemnitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033419338 PECOS PAC ID: 7012184146 Enrollment ID: I20120112000690 |
| Provider Name | Nooshin Yashar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508109869 PECOS PAC ID: 0244464691 Enrollment ID: I20131018000134 |
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