MR. CHARLES H. CLONIGER III (NPI# 1679690044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679690044 |
| Entity Type | Individual |
| Full Name | MR. CHARLES H. CLONIGER III |
| Credential | NP |
| Practice Address |
1001 Potrero Ave # 4j Sfgh Urgent Care San Francisco CA 94110-3518 |
| Practice Telephone | 4152068052 |
| Practice Fax Number | 4153557407 |
| Mailing Telephone | 4152068052 |
| Mailing Fax Number | 4153557407 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN351454 | CA | Nursing Service Providers |
| X | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NPF10167 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER | 966937 | 01 |
| Street Address |
1001 POTRERO AVE # 4J SFGH URGENT CARE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255412698 | Annette Patricia Espil | Nurse Practitioner | 1001 Potrero Ave # 4j, San Francisco, CA 94110-3518 | 2006-10-18 |
| 1811011638 | Cynthia Y. Li | Internal Medicine | 1001 Potrero Ave # 4j, Sfgh Urgent Care, San Francisco, CA 94110-3518 | 2007-03-19 |
| 1720102544 | Gina G. Robinson-osder | Registered Nurse | 1001 Potrero Ave # 4j, Sfgh Urgent Care, San Francisco, CA 94110-3518 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104351667 | Katharine Willcoxon | Registered Nurse | 400 Parnassus Ave # 116, San Francisco, CA 94143-2202 | 2017-04-21 |
| 1003143223 | Gregory Sumner Payne Brynelson | Registered Nurse | 555 Mission Rock St Unit 103, San Francisco, CA 94158-2150 | 2009-11-09 |
| 1588781959 | Mark A. Hawk | Registered Nurse | 1001 Potrero Ave # 3b, Sfgh Surgery Department, San Francisco, CA 94110-3518 | 2007-03-23 |
| 1174655104 | Dorothy L. Christian | Registered Nurse | 1001 Potrero Ave # 3m, Sfgh Orthopedic Surgery, San Francisco, CA 94110-3518 | 2007-03-13 |
| 1629100656 | Thomas L. Farley | Registered Nurse | 505 Parnassus Ave M917, Box 0624, San Francisco, CA 94143-0624 | 2007-03-13 |
| 1477601110 | Daniel W. Cox | Registered Nurse | 1001 Potrero Ave # 3c38, Sfgh Anesthesia, San Francisco, CA 94110-3518 | 2007-01-08 |
| 1235231531 | Cynthia Diane Johnson | Registered Nurse | 1001 Potrero Ave Rm 3a36, Orthopaedic Surgery, San Francisco, CA 94110-3518 | 2006-09-05 |
| 1740210657 | Julia Anna Thompson Gallego | Registered Nurse | 1001 Potrero Avenue, Dept. of Neurosurgery, San Francisco General Hospital Medical Center, San Francisco, CA 94110-3594 | 2006-07-04 |
| 1598792251 | Clare Irene Senchyna | Registered Nurse | Tom Waddell Health Center, 50 Ivy St, San Francisco, CA 94102-4506 | 2006-06-27 |
| 1114996436 | Maria Ivonne Lee | Registered Nurse | 961 Lombard St, San Francisco, CA 94133-2217 | 2006-03-17 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
Please comment or provide details below to improve the information on MR. CHARLES H. CLONIGER III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.