Address: 1001 Potrero Ave, Rm 1x55, San Francisco, CA 94110-3518
Phone: 4152065871

DR. IRINA A VASILYEVA (NPI# 1417999038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417999038
Entity Type 1 - Individual
Credential MD PHD
Practice Address 1001 Potrero Ave
Rm 1x55
San Francisco
CA 94110-3518
Mailing Address 250 Gorge Rd #8c
Cliffside Park
NJ 07010
Practice Telephone 4152065871
Practice Fax Number 4152064004
Mailing Telephone 2017248178
Mailing Fax Number 2019173447
Enumeration Date 06/11/2006
Last Update Date 09/29/2017
Gender Code F
Is Sole Proprietor N


Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
245445 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A925040 05

Office Location

Street Address 1001 POTRERO AVE
RM 1X55
State CA
Zip Code 94110-3518

Providers with the same location

NPI Name Address
1598769002 DR. NEDA RATANAWONGSA 1001 Potrero Ave, 1m General Medicine Clinic, San Francisco, CA 94110-3518
1689674988 MS. COLLEEN MARIE WITTE 1001 Potrero Ave, Bldg. 9, Room 115, San Francisco, CA 94110-3518
1245231133 THOMAS YUN 1001 Potrero Ave, San Francisco, CA 94110-3518
1013909506 DR. JON RICHARD TABIJE 1001 Potrero Ave, San Francisco General Hospital, San Francisco, CA 94103
1750370904 MS. JANE M. PERLAS 1001 Potrero Ave, 5h6, San Francisco, CA 94110-3518
1831189745 JENNIFER LEGGETT 1001 Potrero Ave, Room 3b13, San Francisco, CA 94110-3518
1548247737 ANITHA BHASKAR TOKE 1001 Potrero Ave, Building 100, Room 342, San Francisco, CA 94110-3518
1629049853 DR. NEAL L. ROJAS 1001 Potrero Ave, Mail Stop 6e, San Francisco, CA 94110-3518
1811962475 BRIAN D MCBETH 1001 Potrero Ave, San Francisco, CA 94110-3518
1174598296 UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP 1001 Potrero Ave, Bldg 80 Ward 83, San Francisco, CA 94110-3518


Search similar physicians

Zip Code 94110

Improve Information

Please comment or provide details below to improve the information on .

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.