CARLI RENSKE REISDORF MD

1101 VAN NESS AVE, SAN FRANCISCO, CA, 941096919

atlas:atm_npi_1013412717

Block 0018Block Group 0Census Tract 9901Marin County California United States

What is stored

status: A
address: 1101 VAN NESS AVE, SAN FRANCISCO, CA, 941096919
npi: 1013412717
license: A166617
taxonomy: Emergency Medicine
other names: ["CARLI HAASBROEK"]
last updated: 2025-09-29
license state: CA
taxonomy code: 207P00000X
all taxonomies: ["Emergency Medicine, Pediatric Emergency Medicine","Emergency Medicine","Emergency Medicine"]
sole proprietor: YES
enumeration date: 2018-03-26
enumeration type: NPI-1
practice locations: 2

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Read fact fields

{
  "npi": "1013412717",
  "status": "A",
  "address": "1101 VAN NESS AVE, SAN FRANCISCO, CA, 941096919",
  "license": "A166617",
  "taxonomy": "Emergency Medicine",
  "other_names": [
    "CARLI HAASBROEK"
  ],
  "last_updated": "2025-09-29",
  "license_state": "CA",
  "taxonomy_code": "207P00000X",
  "all_taxonomies": [
    "Emergency Medicine, Pediatric Emergency Medicine",
    "Emergency Medicine",
    "Emergency Medicine"
  ],
  "sole_proprietor": "YES",
  "enumeration_date": "2018-03-26",
  "enumeration_type": "NPI-1",
  "practice_locations": 2
}