Individual provider Active NPI

Anthony Paul Mrgudich, M.D.

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1124358635
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A116037 Issued in CA
Practice address
1569 Sloat Blvd
San Francisco, CA 94132-1256
Phone
(415) 353-9339
Fax
(415) 353-3450
NPI assigned
Jan 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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 A116037 CA Primary

Addresses

Primary practice location

1569 Sloat Blvd
San Francisco, CA 94132-1256

Mailing address

1569 Sloat Blvd
San Francisco, CA 94132-1256
Phone (415) 353-9339

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
I20180601000876 CA Practitioner - Family Practice 6103076062 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

1569 Sloat Blvd
San Francisco, CA 94132-1256
Phone (415) 476-1000

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

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

400 Parnassus Ave
San Francisco, CA 94143-2202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116037CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group Current Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Apr 5, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 5, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California SFGH Medical Group CurrentSince Apr 1, 2020 Accepting new patients
University of California San Francisco CurrentSince Apr 5, 2020 Accepting new patients
City and County of San Francisco CurrentSince Aug 25, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 5, 2020 Accepting new patients
University of California SFGH Medical Group Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

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

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

3333 California St
San Francisco, CA 94118
Phone (415) 514-3577

1569 Sloat Blvd
San Francisco, CA 94132
Phone (415) 353-9339

1569 Sloat Blvd
Ste 333
San Francisco, CA 94132
Phone (415) 353-9339

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

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

220 Hospital Dr
Vallejo, CA 94589
Phone (707) 641-1900

Interoperability endpoints

  • Direct secure messaging: amrgudich13823@direct-ucsfmedicalcenter.org

Organizations & group practices 11

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": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1124358635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 SLOAT BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321256",
            "telephone_number": "415-353-9339",
            "fax_number": "415-353-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 SLOAT BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321256",
            "telephone_number": "415-353-9339",
            "fax_number": "415-353-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRGUDICH",
        "first_name": "ANTHONY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-05",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A116037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.