Active NPI
Kevin Lagor, NP-C
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP029565
- Practice address
- 1563 Mission St
San Francisco, CA 94103-2543 - Phone
- (415) 762-1550
- Fax
- (415) 865-0119
- NPI assigned
- Mar 7, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP029565 | CA | Primary |
Addresses
Primary practice location
1563 Mission St
San Francisco, CA 94103-2543
Mailing address
1563 Mission St
San Francisco, CA 94103-2543
Phone (415) 762-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPF95003917 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, PA
- 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
- 88.2 of 100
- Quality
- 61.12
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 83.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP029565 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philadelphia Fight | Current | Accepting new patients | |
| Lifelong Medical Care | Current | Accepting new patients | |
| Lifelong Medical Care | Current | Accepting new patients | |
| Philadelphia Fight | Current | Accepting new patients |
Locations
2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203
10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300
1233 Locust St
Ste 500
Philadelphia, PA 19107
Phone (215) 790-1788
1207 Chestnut St
Fl 3
Philadelphia, PA 19107
Phone (215) 564-6388
1233 Locust St
Fl 3
Philadelphia, PA 19107
Phone (267) 725-0252
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1760507859
-
- Geriatric Medicine (Family Medicine) Physician
- Berkeley, CA
- NPI 1689670002
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1760427843
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1487082608
-
- Family Medicine Physician
- Rodeo, CA
- NPI 1003289463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1205297033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1563 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032543",
"telephone_number": "415-762-1550",
"fax_number": "415-865-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1563 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032543",
"telephone_number": "415-762-1550",
"fax_number": "415-865-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGOR",
"first_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-07",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "SP029565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "NPF95003917",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.