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JOHN BASKERVILLE IMBODEN JR. MD
NPI 1275689408
Internal Medicine - Rheumatology in San Francisco, CA

Active since January 29, 2007PECOS Enrolled
1001 POTRERO AVENUE, BLDG 30 RM 3300, SAN FRANCISCO, CA 94110(415) 206-5438(415) 648-8425 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Baskerville Imboden Jr. Md NPPES

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

JOHN BASKERVILLE IMBODEN JR. MD (NPI 1275689408) is an individual rheumatology provider in San Francisco, California, licensed in California (G44969) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275689408
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJOHN BASKERVILLE IMBODEN JR.Credential: MD
Location Address1001 POTRERO AVENUE, BLDG 30 RM 3300San Francisco, CA 94110-3518
Mailing AddressPo Box 7464San Francisco, CA 94120-7464 · (415) 206-3103 · Fax (415) 206-3872
Phone(415) 206-5438
Fax(415) 648-8425
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJanuary 17, 2012
✔ NPI 1275689408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CA · G44969
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License G44969 (CA)
1001 POTRERO AVENUE, San Francisco, CA 94110
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA49827
Medicaid00G449690CA
Medicare ID-Type Unspecified00G449690CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Baskerville Imboden Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

PWINT PHYU KHINE D.O.
Radiology (Diagnostic Radiology)
1001 POTRERO AVENUE, BLDG. 5, 1ST FLOOR
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-8020
JOYCE SESE DORADO PH D
Psychologist (Clinical)
1001 POTRERO AVENUE, RM 7M
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5612
STEPHANIE SHEREENA HERNANDEZ
Community Health Worker
1001 POTRERO AVENUE, BUILDING 90 WARD 94
SAN FRANCISCO, CA 94110
San Francisco County (415) 373-7119
CITY AND COUNY OF SAN FRANCISCO
Nuclear Medicine
1001 POTRERO AVENUE, RM G100
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-8580
URMIMALA SARKAR MD
Internal Medicine
1001 POTRERO AVENUE, RM 5H22
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-8317
RENA MEI MD
Internal Medicine (Gastroenterology)
1001 POTRERO AVENUE, BUILDING 5, 3RD FLOOR, SUITE 3D
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-8823
MICHAEL HARRINGTON HUMPHREYS MD
Internal Medicine
1001 POTRERO AVENUE, BLDG 100 RM 350
SAN FRANCISCO, CA 94110
San Francisco County (415) 476-4617
LLOYD JOSEPH KING MD
Psychiatry & Neurology (Psychiatry)
1001 POTRERO AVENUE, RM 7M
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5612

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 John Imboden's NPI number?

The NPI number for John Imboden is 1275689408. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is John Imboden located?

John Imboden practices at 1001 Potrero Avenue Bldg 30 Rm 3300, San Francisco, CA 94110. The listed phone number is (415) 206-5438.

What is John Imboden's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is John Imboden enrolled in Medicare?

Yes. John Imboden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Imboden was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.