CRICKET HEALTH MEDICAL PRACTICE PC
NPI 1255961355
Internal Medicine - Nephrology in San Francisco, CA

Active since January 17, 2020
548 MARKET STREET, STE 39516, SAN FRANCISCO, CA 94104(833) 644-8244 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2024, Sep 11, 2024, Jan 17, 2020 (3 updates tracked since 2020).

About Cricket Health Medical Practice Pc NPPES

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

CRICKET HEALTH MEDICAL PRACTICE PC (NPI 1255961355) is a healthcare organization registered as a nephrology in San Francisco, California and active in the NPI registry since January 2020. The organization lists Julie Dominguez, President, as its authorized official.

NPPES Registry Identity

NPI1255961355
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCRICKET HEALTH MEDICAL PRACTICE PC
Location Address548 MARKET STREET, STE 39516San Francisco, CA 94104-4534
Mailing Address548 Market Street, Pmb 39516San Francisco, CA 94104-4534 · (833) 644-8244
Organization SubpartNo
Authorized OfficialJulie DominguezPresident · (833) 644-8244
Enumeration DateJanuary 17, 2020
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1255961355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
548 MARKET STREET, San Francisco, CA 94104

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cricket Health Medical Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Cricket Health Medical Practice PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1649631078
626 CUTWATER LN
Foster City, CA 94404
(561) 713-7739
✔ PECOS19 mi
Nephrology
NPI 1871760223
200 W ARBOR DR UCSD MEDICAL CENTER, MAIL CODE 9111-H: NEPHROLOGY
San Diego, CA 92103
(619) 543-5819
✔ PECOS456 mi
Nurse Practitioner
NPI 1326597105
1073 N BENSON RD
Fairfield, CT 06824
(203) 254-4000
✔ PECOS2,603 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cricket Health Medical Practice PC's NPI number?

The NPI number for Cricket Health Medical Practice PC is 1255961355. It was assigned to this organization in the NPPES registry on January 17, 2020.

Where is Cricket Health Medical Practice PC located?

Cricket Health Medical Practice PC is located at 548 Market Street Ste 39516, San Francisco, CA 94104. The listed phone number is (833) 644-8244.

What is Cricket Health Medical Practice PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Cricket Health Medical Practice PC enrolled in Medicare?

Yes. Cricket Health Medical Practice PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cricket Health Medical Practice PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cricket Health Medical Practice PC, in Nephrology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cricket Health Medical Practice PC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.