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SIGNIFY HEALTH MEDICAL ASSOCIATES OF CALIFORNIA, PC
NPI 1124685169
General Practice in San Francisco, CA

Active since May 24, 2019CLIA Certified · 4 labs
505 MONTGOMERY ST, FL 10 & 11, SAN FRANCISCO, CA 94111(972) 715-3800 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2023, Aug 23, 2021, May 24, 2019 (3 updates tracked since 2019).

About Signify Health Medical Associates Of California, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIGNIFY HEALTH MEDICAL ASSOCIATES OF CALIFORNIA, PC (NPI 1124685169) is a healthcare organization registered as a general practice in San Francisco, California and active in the NPI registry since May 2019. The organization holds 4 active CLIA laboratory certificates and lists David Fairchild, President And Chief Medical Office, as its authorized official.

NPPES Registry Identity

NPI1124685169
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSIGNIFY HEALTH MEDICAL ASSOCIATES OF CALIFORNIA, PC
Location Address505 MONTGOMERY ST, FL 10 & 11San Francisco, CA 94111-2585
Mailing Address4055 Valley View Ln Ste 400Dallas, TX 75244-5071 · (972) 715-3800
Phone(972) 715-3800
Organization SubpartNo
Authorized OfficialDavid FairchildPresident And Chief Medical Office · (877) 868-5351
Enumeration DateMay 24, 2019
Last NPPES UpdateOctober 26, 20233 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
✔ NPI 1124685169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
505 MONTGOMERY ST, San Francisco, CA 94111
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2256582

Signify Health Medical Associates Of California PC · San Francisco, CA
Active · expires Mar 24, 2028
CLIA Number05D2256582
Laboratory TypeIn Home, In-Facility Clin
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorJeffrey H. Oppenheimer
Laboratory Phone(972) 715-3800
Laboratory LocationSignify Health Medical Associates Of California PC505 Montgomery St, 10th Floor, San Francisco, CA 94111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2217842

Signify Health Medical Associates, PLLC · Dallas, TX
Active · expires Mar 23, 2027
CLIA Number45D2217842
Laboratory TypeIn Home/Facility Clinical
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorHeidi Schwarzwald
Laboratory Phone(972) 715-3800
Laboratory LocationSignify Health Medical Associates, PLLC4055 Valley View Ln Suite 700, Dallas, TX 75244
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2193302

Signify Health, LLC · Dallas, TX
Active · expires Sep 17, 2026
CLIA Number45D2193302
Laboratory TypeIn Home Clinical Srvs
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorHeidi Schwarzwald
Laboratory Phone(972) 715-3800
Laboratory LocationSignify Health, LLC4055 Valley View Lane Suite 700, Dallas, TX 75244
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D2210205

Signify Health Medical Associates Of New Jersey LLC · Princeton, NJ
Active · expires Jan 19, 2027
CLIA Number31D2210205
Laboratory TypeHome/Facility Clinical
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorHeidi Schwarzwald
Laboratory Phone(972) 715-3800
Laboratory LocationSignify Health Medical Associates Of New Jersey LLC116 Village Blvd Suite 200, Princeton, NJ 08540
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIVO MEDICAL CA PC
Internal Medicine (Pulmonary Disease)
505 MONTGOMERY ST, FLOOR 10
SAN FRANCISCO, CA 94111
San Francisco County (707) 512-9401
SNORE SOLUTIONS LLC
Durable Medical Equipment & Medical Supplies
505 MONTGOMERY ST, SUITE 1031
SAN FRANCISCO, CA 94111
San Francisco County (415) 689-7799
DAYONE CENTERS, INC.
Registered Nurse (Lactation Consultant)
505 MONTGOMERY ST, 11TH FLOOR
SAN FRANCISCO, CA 94111
San Francisco County (415) 874-3443
SWAN LICENSED PROFESSIONAL CLINICAL COUNSELOR GROUP PC
Counselor (Mental Health)
505 MONTGOMERY ST
SAN FRANCISCO, CA 94111
San Francisco County (610) 608-4868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Signify Health Medical Associates Of California, PC's NPI number?

The NPI number for Signify Health Medical Associates Of California, PC is 1124685169. It was assigned to this organization in the NPPES registry on May 24, 2019.

Where is Signify Health Medical Associates Of California, PC located?

Signify Health Medical Associates Of California, PC is located at 505 Montgomery St Fl 10 & 11, San Francisco, CA 94111. The listed phone number is (972) 715-3800.

What is Signify Health Medical Associates Of California, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Signify Health Medical Associates Of California, PC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Signify Health Medical Associates Of California, PC was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.