Active NPI
Juan Edmundo Vargas, MD
- Obstetrics & Gynecology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A76002
- Practice address
- 1001 Potrero Ave
RM 6D14
San Francisco, CA 94110-3518 - Phone
- (415) 206-5679
- Fax
- (415) 206-3112
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A76002 | CA | Primary |
Addresses
Primary practice location
1001 Potrero Ave
RM 6D14
San Francisco, CA 94110-3518
Mailing address
PO Box 7464
San Francisco, CA 94120-7464
Phone (415) 206-3103
Other practice location 1
2450 Ashby Ave Rm 3040
Berkeley, CA 94705-2067
Phone (510) 204-3977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A760020 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3451 E 12TH St
Oakland, CA 94601-3463
Phone (510) 535-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76002 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Obstetrics & Gynecology | Current | Accepting new patients |
| University of California SFGH Medical Group | Obstetrics & Gynecology | Current | Accepting new patients |
| UCSF Medical Group Business Services | Obstetrics & Gynecology | Current | Accepting new patients |
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Sutter East Bay Medical Foundation | Obstetrics & Gynecology | Past | Accepting new patients |
| California Pacific Medical Group, Inc. | Past | Accepting new patients | |
| La Clinica de la Raza, Inc. | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566
2450 Ashby Ave
Rm 3040
Berkeley, CA 94705
Phone (510) 204-3977
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
3451 E 12th St
Fl 2
Oakland, CA 94601
Phone (510) 535-3319
1030 International Blvd
Oakland, CA 94606
Phone (510) 238-5400
3451 E 12th St
Oakland, CA 94601
Phone (510) 535-3319
2021 Main St
Oakley, CA 94561
Phone (925) 776-8200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
1001 Potrero Ave
Rm 6D14
San Francisco, CA 94110
Phone (415) 206-5679
1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753
2356 Sutter St
San Francisco, CA 94115
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
Interoperability endpoints
- jvargas306773@direct.ochin.org
- jvargas239392@hisp.ehr.sutterhealth.org
Organizations & group practices 16
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.
-
- Federally Qualified Health Center (FQHC)
- Concord, CA
- NPI 1538181482
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Obstetrics & Gynecology
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1063487122
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1366417420
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1124035159
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1144336181
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1346262292
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
Obstetrics & Gynecology
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1083668032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7464",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941207464",
"telephone_number": "415-206-3103",
"fax_number": "415-206-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 POTRERO AVE",
"address_2": "RM 6D14",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103518",
"telephone_number": "415-206-5679",
"fax_number": "415-206-3112"
}
],
"practiceLocations": [
{
"address_1": "2450 Ashby Ave Rm 3040",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947052067",
"country_code": "US",
"telephone_number": "510-204-3977",
"fax_number": "510-204-5429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGAS",
"first_name": "JUAN",
"middle_name": "EDMUNDO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A76002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A760020",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.