NPIMap

Individual provider Active NPI

Christine Chang Pecci, M.D.

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1043284813
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C56032 Issued in CA
Practice address
995 Potrero Ave
Ward 83
San Francisco, CA 94110
Phone
(415) 206-2972
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C056032 CA
Family Medicine Physician 207Q00000X 203882 MA
Family Medicine Physician 207Q00000X C56032 CA Primary

Addresses

Primary practice location

995 Potrero Ave
Ward 83
San Francisco, CA 94110

Mailing address

1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828

Other practice location 1

1450 Treat Blvd # 320
Walnut Creek, CA 94597-2168
Phone (925) 296-9880

Other identifiers 2

IdentifierTypeStateIssuer
110040933AMedicaidMA
2103401MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131003000354 CA Practitioner - Family Practice 2062459621 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518

1001 Potrero Ave BLDG 80 Ward 83
Suite 32
San Francisco, CA 94110-3518
Phone (628) 206-8610

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C056032CAMDFamily Medicine Physician
C56032CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Aug 15, 2013 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
City & County of San Francisco Current Accepting new patients
City & County of San Francisco CurrentSince Nov 10, 2019 Accepting new patients
University of California SFGH Medical Group Family Medicine CurrentSince Aug 15, 2013 Accepting new patients
City and County of San Francisco CurrentSince Nov 10, 2019 Accepting new patients
John Muir Physician Network CurrentSince Jun 15, 2018 Accepting new patients
Boston University Obstetrics and Gynecology Foundation, Inc. Past Accepting new patients
Boston University Family Medicine, Inc. Family Medicine Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1450 Treat Blvd
#320
Walnut Creek, CA 94597
Phone (925) 296-9880

1450 Treat Blvd
Ste 320
Walnut Creek, CA 94597
Phone (925) 296-9827

1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828

Interoperability endpoints

  • Direct secure messaging: cpecci344532@hisp.ehr.sutterhealth.org
  • Direct secure messaging: cpecci91680@ehr.johnmuirhealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1043284813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 POTRERO AVE",
            "address_2": "WARD 83",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-206-2972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Treat Blvd # 320",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945972168",
            "country_code": "US",
            "telephone_number": "925-296-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECCI",
        "first_name": "CHRISTINE",
        "middle_name": "CHANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C056032",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "203882",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C56032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110040933A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103401",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.