Innovative Medical Group Nj, LLC
NPI 1417685256 · Primary Care Clinic/Center · San Francisco, CA
Innovative Medical Group Nj, LLC is a Primary Care Clinic/Center organization in San Francisco, CA (NPI 1417685256).
Provider details
- NPI number
- 1417685256
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nathan Favini, Manager(415) 349-0850
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Forward
Registry dates
- Enumerated
- 2022-08-10
- Last updated
- 2022-08-10
- Certified
- 2022-07-26
Frequently asked questions
- What is Innovative Medical Group Nj, LLC's NPI number?
- Innovative Medical Group Nj, LLC's National Provider Identifier (NPI) is 1417685256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Medical Group Nj, LLC?
- Innovative Medical Group Nj, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Innovative Medical Group Nj, LLC located?
- Innovative Medical Group Nj, LLC's practice location on file with NPPES is 660 4th St # 202, San Francisco, CA 94107-1618.
- What is Innovative Medical Group Nj, LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Medical Group Nj, LLC is (415) 349-0850.
- Who is the authorized official for Innovative Medical Group Nj, LLC?
- The authorized official listed on Innovative Medical Group Nj, LLC's NPPES record is Nathan Favini, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Medical Group Nj, LLC's NPI active?
- Yes — Innovative Medical Group Nj, LLC's NPI (1417685256) is active in the NPPES registry as of the last update on 2022-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.