Individual provider Active NPI

Luke Milburn Judge, M.D.

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1194047126
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A 111085 Issued in CA
Practice address
505 Parnassus Ave # M691
UCSF Box 0110
San Francisco, CA 94143-0110
Phone
(415) 476-5001
NPI assigned
Feb 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A 111085 CA Primary

Addresses

Primary practice location

505 Parnassus Ave # M691
UCSF Box 0110
San Francisco, CA 94143-0110

Mailing address

505 Parnassus Ave # M691
UCSF Box 0110
San Francisco, CA 94143-0110

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
I20140910002056 CA Practitioner - Pediatric Medicine 1153540828 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 111085CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Aug 11, 2019 Accepting new patients
University of California SFGH Medical Group CurrentSince May 12, 2017 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2014 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jul 1, 2014 Accepting new patients
University of California SFGH Medical Group CurrentSince May 12, 2017 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jul 1, 2014 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 11, 2019 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

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

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

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

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

1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000

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

505 Parnassus Ave
#M691
San Francisco, CA 94143
Phone (415) 476-5001

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.

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1194047126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M691",
            "address_2": "UCSF BOX 0110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M691",
            "address_2": "UCSF BOX 0110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430110",
            "telephone_number": "415-476-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "LUKE",
        "middle_name": "MILBURN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A 111085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.