Geetha Ravi Thaker
Family Medicine

Address: 2 Embarcadero Ctr Lbby Level415, San Francisco, CA 94111
Phone: 4155783100

Geetha Ravi Thaker (NPI# 1033557574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1033557574
Entity Type Individual
Full Name Geetha Ravi Thaker
Credential D.O.
Gender Female
Practice Address 2 Embarcadero Ctr Lbby Level415
San Francisco
CA 94111
Practice Telephone 4155783100
Practice Fax Number 4152910489
Mailing Address 1 Embarcadero Ctr Ste 1900
San Francisco
CA 94111-3723
Mailing Telephone 4156586791
Mailing Fax Number 4155200904
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2013-06-06
Last Update Date 2019-08-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 20A14873 CA
No 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 5101020676 MI

Secondary Practice Locations

Address Telephone Number Fax Number
27450 Schoenherr Rd Ste 400, Warren, MI 480886684 5865827550 5865827515

Physician Overview

NPI 1033557574
PAC ID by PECOS 5698074169
Professional Enrollment ID I20170109001385
Full Name Geetha Thaker
Organization Legal Name ONE MEDICAL GROUP INC
Phone Number 4155783100
Gender F
Graduation Year 2013
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 2567623739
Number of Group Practice Members 166
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, American Osteopathic Board of Family Physicians,
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

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1821454596 Kathlene Cm Vannoy Family Medicine 522 2nd St Ste 101, San Francisco, CA 94107-1427 2016-01-11
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1972998458 Valy Fontil Medical Corporation Family Medicine 156 2nd St, San Francisco, CA 94105-3724 2015-04-01
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Office Location

State CA
Zip Code 94111

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437704574 Dannielle Robin Jardine Behavior Technician 744 Montgomery St Suite 400, San Francisco, CA 94111 2019-08-06
1427543784 Christopher Steven Olsen Dentist Two Embarcadero Center, Promenade Level, San Francisco, CA 94111 2018-06-28
1275042319 Leena Suthar Pandya Naturopath 747 Front Street, C/o Empower, San Francisco, CA 94111 2017-09-20
1619353943 Rebecca Ho Lee Behavior Analyst 744 Montgomery St #400, San Francisco, CA 94111 2015-08-10
1497146229 Lisa Shaw Physical Therapist 659 Commercial St, Suite 101, San Francisco, CA 94111 2015-02-16
1730594227 Travel Well Corporation Preventive Medicine 1750 Montgomery St. 1st Floor, San Francisco, CA 94111 2014-06-24
1881006724 Corey Todhunter Chiropractor 9 Columbus Avenue, San Francisco, CA 94111 2014-05-27
1700155298 Owen D. Renik Psychiatry & Neurology 388 Market Street, Suite 1010, San Francisco, CA 94111 2011-12-29
1306115217 Mary Catherine Shipman Family Medicine 440 Davis Court, Apt 1012, San Francisco, CA 94111 2011-12-21
1023385010 Dna Direct Inc Case Management 9 Pier Suite 106, San Francisco, CA 94111 2011-11-19
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Dataset Information

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.