Individual provider Active NPI

Juan Edmundo Vargas, MD

  • Obstetrics & Gynecology Physician
  • San Francisco, CA
National Provider Identifier
1083668032
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A76002 Issued in CA
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

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A760020MedicaidCA

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
I20080306000364 CA Practitioner - Obstetrics/Gynecology 7517042104 Reassigns benefits to 5 organizations

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
La Clinica de la Raza IncGroup PAC ID 1557258282, 130 clinicians

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

LicenseStateTypeSpecialty
A76002CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de la Raza Inc CurrentSince Oct 1, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2007 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2003 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 1, 2021 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 CurrentSince Mar 1, 2021 Accepting new patients
University of California SFGH Medical Group Obstetrics & Gynecology CurrentSince Jan 1, 2000 Accepting new patients
UCSF Medical Group Business Services Obstetrics & Gynecology CurrentSince Jul 1, 2007 Accepting new patients
La Clinica de la Raza Inc CurrentSince Oct 1, 2024 Accepting new patients
University of California SFGH Medical Group CurrentSince Jan 1, 2000 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

  • Direct secure messaging: jvargas306773@direct.ochin.org
  • Direct secure messaging: 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.

View all 16

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

Verify at the official NPI Registry.