Individual provider Active NPI

Jacob Paul Arellano-Anderson, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1073191102
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A192313 Issued in CA
Practice address
3850 17TH St
San Francisco, CA 94114-2031
Phone
(415) 934-7700
NPI assigned
Mar 30, 2021
Last updated
Jul 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A192313 CA Primary

Addresses

Primary practice location

3850 17TH St
San Francisco, CA 94114-2031

Mailing address

79 Linda St
San Francisco, CA 94110-1615

Other practice location 1

1001 Potrero Ave Bldg 80-83
San Francisco, CA 94110-3518
Phone (628) 206-5252

Other names 1

  • Jacob Paul Anderson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240914000369 CA Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 1355799149 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Harvard Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (415) 206-2305

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
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A192313CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Aug 27, 2024 Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince May 1, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
University of California SFGH Medical Group Family Medicine CurrentSince Aug 27, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 5, 2025 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
UCSF Medical Group Business Services CurrentSince May 5, 2025 Accepting new patients
UCSF Dept of Surgery CurrentSince May 5, 2025 Accepting new patients
City and County of San Francisco CurrentSince Aug 27, 2024 Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince May 1, 2025 Accepting new patients
City & County of San Francisco CurrentSince Aug 27, 2024 Accepting new patients
University of California San Francisco CurrentSince May 5, 2025 Accepting new patients
University of California San Francisco CurrentSince May 5, 2025 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

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

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

1001 Potrero Ave
Bldg 8083
San Francisco, CA 94110
Phone (415) 206-5252

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

2356 Sutter St
Fl 6
San Francisco, CA 94115
Phone (415) 353-2170

375 Laguna Honda Blvd
#B200
San Francisco, CA 94116
Phone (415) 759-3348

3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

Interoperability endpoints

  • Direct secure messaging: jacob.arellanoanderson.p1@direct.ppmarmonte.nextgenshare.com

Organizations & group practices 15

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

View all 15

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1073191102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 LINDA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 17TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142031",
            "telephone_number": "415-934-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave Bldg 80-83",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "628-206-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARELLANO-ANDERSON",
        "first_name": "JACOB",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A192313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACOB",
            "last_name": "ANDERSON",
            "middle_name": "PAUL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.