Active NPI
Renee Kirk Kagan, PA-C
- Physician Assistant
- San Francisco, CA
National Provider Identifier
1154738359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA51717
- Practice address
- 2288 Market St
San Francisco, CA 94114-1506 - Phone
- (415) 964-4855
- NPI assigned
- Jul 20, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA51717 | CA | Primary |
Addresses
Primary practice location
2288 Market St
San Francisco, CA 94114-1506
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025772 | NY | MD | Psychologist |
| PA51717 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| City and County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Physician Assistant | Current | Accepting new patients |
| Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000
Interoperability endpoints
- renee.kagan@ghuc.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Clinical Medical Laboratory
- San Francisco, CA
- NPI 1982737524
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1396790812
-
- Community Health/Public Health Clinical Nurse Specialist
- San Francisco, CA
- NPI 1609041060
Physician Assistant
-
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1740788702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1154738359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2288 MARKET ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141506",
"telephone_number": "415-964-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGAN",
"first_name": "RENEE",
"middle_name": "KIRK",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-20",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA51717",
"primary": true
}
],
"identifiers": [],
"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 24, 2017; 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.