Individual provider Active NPI

Alexandra Yasemin Goksenin, MD/PHD

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1194170431
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A154408 Issued in CA
Practice address
550 16TH St
4TH Floor, 4551, Box 0110
San Francisco, CA 94143-2549
Phone
(415) 476-6245
NPI assigned
Apr 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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 A154408 CA Primary

Addresses

Primary practice location

550 16TH St
4TH Floor, 4551, Box 0110
San Francisco, CA 94143-2549

Mailing address

550 16TH St, 4TH FL
Box 0434
San Francisco, CA 94158
Phone (415) 476-3831

Other identifiers 1

IdentifierTypeStateIssuer
A154408OtherCAMEDICAL BOARD OF CALIFORNIA

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
I20220813000710 CA Practitioner - Pediatric Medicine 5799049920 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154408CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jul 31, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 31, 2022 Accepting new patients
Regents Univ of California UCSF Pediatrics CurrentSince Jul 31, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 31, 2022 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jul 31, 2022 Accepting new patients
University of California San Francisco CurrentSince Jul 31, 2022 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

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1100 Larkspur Landing Cir
Ste 10
Larkspur, CA 94939
Phone (415) 464-1350

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

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

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

550 16th St
Fl 4
San Francisco, CA 94143
Phone (415) 476-5001

550 16th St
Fl 4
San Francisco, CA 94158
Phone (415) 353-7337

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

4000 Civic Center Dr
Ste 206
San Rafael, CA 94903
Phone (415) 492-4800

Interoperability endpoints

  • Direct secure messaging: agoksenin79803@direct-ucsfmedicalcenter.org
  • Direct secure messaging: agoksenin596670@direct.ochin.org

Organizations & group practices 9

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": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1194170431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 16TH ST, 4TH FL",
            "address_2": "BOX 0434",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94158",
            "telephone_number": "415-476-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 16TH ST",
            "address_2": "4TH FLOOR, 4551, BOX 0110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432549",
            "telephone_number": "415-476-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOKSENIN",
        "first_name": "ALEXANDRA",
        "middle_name": "YASEMIN",
        "credential": "MD/PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-24",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A154408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A154408",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.