Individual provider Active NPI

Karla Bermudez Wagner, M.D.

  • Maternal & Fetal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1114169810
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A108445 Issued in CA
Practice address
1855 4TH St FL 3
San Francisco, CA 94143-2350
Phone
(415) 353-2566
Fax
(415) 353-2496
NPI assigned
Mar 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT187105 PA
Maternal & Fetal Medicine Physician 207VM0101X Q2102 TX
Maternal & Fetal Medicine Physician 207VM0101X A108445 CA Primary

Addresses

Primary practice location

1855 4TH St FL 3
San Francisco, CA 94143-2350

Mailing address

1855 4TH St FL 3
San Francisco, CA 94143-2350
Phone (415) 353-2566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110512000367 CA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 3072799808 Reassigns benefits to 5 organizations
I20141010000290 TX Practitioner - Obstetrics/Gynecology 3072799808 Reassigns benefits to 2 organizations
I20230721001041 VA Practitioner - Obstetrics/Gynecology 3072799808

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians
UCSF Dept of SurgeryGroup PAC ID 7719886373, 211 clinicians

Practice addresses (Care Compare)

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT187105PAMDObstetrics & Gynecology Physician
A108445CAMDMaternal & Fetal Medicine Physician
Q2102TXMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Oct 15, 2014 Accepting new patients
Texas Children'S Physician Group CurrentSince Aug 19, 2014 Accepting new patients
Alameda Health System CurrentSince Feb 28, 2025 Accepting new patients
Valley Children'S Medical Group CurrentSince Jul 1, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Oct 15, 2014 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Dept of Surgery CurrentSince Feb 7, 2025 Accepting new patients
UCSF Medical Group Business Services Obstetrics & Gynecology CurrentSince Feb 7, 2025 Accepting new patients
University of California San Francisco CurrentSince Feb 7, 2025 Accepting new patients
University of California San Francisco CurrentSince Feb 7, 2025 Accepting new patients
Alameda Health System CurrentSince Feb 28, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 7, 2025 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

3100 San Pablo Ave
Fl 4
Berkeley, CA 94702
Phone (415) 353-8299

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

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

1855 4th St
Fl 3
San Francisco, CA 94143
Phone (415) 353-2566

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

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

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

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

2450 Holcombe Blvd
Ste NB34L
Houston, TX 77021
Phone (713) 796-0003

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6651 Main St
Ste 1020
Houston, TX 77030
Phone (832) 826-7371

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Interoperability endpoints

  • Direct secure messaging: kbermudezwagner737955@hisp.ehr.sutterhealth.org
  • Direct secure messaging: kbermudezwagner84737@valleychildrens-prd.direct-ci.com
  • Direct secure messaging: kbermudezwagner11887@direct-ucsfmedicalcenter.org

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1114169810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 4TH ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432350",
            "telephone_number": "415-353-2566",
            "fax_number": "415-353-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 4TH ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432350",
            "telephone_number": "415-353-2566",
            "fax_number": "415-353-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ WAGNER",
        "first_name": "KARLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT187105",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "Q2102",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A108445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.