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Export Provider Record NPI 1053438424
Mary A. AngelNP MSN
Active
NPI Number1053438424
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Family
Provider Details
NPI1053438424
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-03-23
Last Updated2025-09-11
Mailing Address887 Potrero Ave, Mental Health Rehabilitation Facility
San Francisco, CA 94110-2869
United States
Phone: (415) 206-6301 | Fax: (415) 206-6918
📍 View Map
Primary Practice Address887 Potrero Ave, Mental Health Rehabilitation Facility
San Francisco, CA 94110-2869
United States
Phone: (415) 206-6301 | Fax: (415) 206-6918
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)031401SFGH Internal Use Only-Commercial Number
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No163WP0808X – Registered Nurse, Psych/Mental HealthCARN352691
Yes363LF0000X – Nurse Practitioner, FamilyCANPF6613
Export Provider Record NPI 1053438424
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About NPI 1053438424

Mary A. Angel NP MSN is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053438424. The primary specialty listed is Nurse Practitioner, Family. The provider is located in San Francisco, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053438424?

NPI 1053438424 belongs to Mary A. Angel NP MSN, a Nurse Practitioner, Family in San Francisco, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053438424 active?

The current status of NPI 1053438424 in the NPPES registry is Active. The record was last updated on 2025-09-11.

What specialty is NPI 1053438424?

NPI 1053438424 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053438424?

You can verify NPI 1053438424 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053438424?

The primary practice address on file for NPI 1053438424 is 887 Potrero Ave, San Francisco, CA 94110-2869. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053438424 issued?

NPI 1053438424 was first issued (enumerated) on 2007-03-23. The NPPES record was last updated on 2025-09-11.

Practice Location Map

Mary A. Angel is located at 887 Potrero Ave, San Francisco, CA. Use the map below to find directions or verify the practice location.

📍 887 Potrero Ave, San Francisco, CA 94110-2869  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mary A. Angel. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053438424. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Registered Nurse, Psych/Mental HealthRN352691CA
Nurse Practitioner, FamilyNPF6613CA
Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162