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ADAM DETORA M.D.
NPI 1770710485
Pediatrics in San Francisco, CA

Active since June 20, 2009PECOS Enrolled
1001 POTRERO AVE, BLDG. 5, 6M, SAN FRANCISCO, CA 94110(628) 206-8376(628) 206-7506 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam Detora M.d. NPPES

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

ADAM DETORA M.D. (NPI 1770710485) is an individual pediatrics provider in San Francisco, California, licensed in California (A148002) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1770710485
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameADAM DETORACredential: M.D.
Location Address1001 POTRERO AVE, BLDG. 5, 6MSan Francisco, CA 94110-3518
Mailing Address1001 Potrero Ave, Bldg. 5, 6mSan Francisco, CA 94110-3518 · (628) 206-8376 · Fax (628) 206-7506
Phone(628) 206-8376
Fax(628) 206-7506
Sole ProprietorNo
Enumeration DateJune 20, 2009
Last NPPES UpdateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1770710485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A148002
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License A148002 (CA)
1001 POTRERO AVE, San Francisco, CA 94110
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Secondary Practice Location 1

Location 155 Fruit St, Massachusetts General Hospital, Founders 530Boston, MA 02114-2621 · Phone (617) 724-9040

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Detora M.d. 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
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.

ROCIO C AGRAZ-LARA RN, PHN
Registered Nurse
1001 POTRERO AVE, ZSFG BUILDING 90 4TH FLOOR
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-8524
DR. SUSAN WLODARCZYK MD
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE, BLDG 10, 3RD FLOOR, WARD 13 BOX 1364
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5164
AMY DINER PSY.D.
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5270
CHRISTOPHER RUIZ
Case Manager/Care Coordinator
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-3950
C. STIRLING SOMERS
Counselor
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5270
WILLIAM RUSSEL CARPENTER FNP-C
Nurse Practitioner (Family)
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-8000
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Clinical Medical Laboratory
1001 POTRERO AVE, BLDG 100, RM 104
SAN FRANCISCO, CA 94110
San Francisco County (415) 502-4775
DR. DENISE RENEE GONZALEZ MD
Internal Medicine
1001 POTRERO AVE, 1M
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-6075

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 Adam Detora's NPI number?

The NPI number for Adam Detora is 1770710485. It was assigned to this individual provider in the NPPES registry on June 20, 2009.

Where is Adam Detora located?

Adam Detora practices at 1001 Potrero Ave Bldg. 5, 6M, San Francisco, CA 94110. The listed phone number is (628) 206-8376.

What is Adam Detora's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Adam Detora enrolled in Medicare?

Yes. Adam Detora is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Detora was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.