Individual provider Active NPI

Lee Wugofski, MD, MPH

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • San Francisco, CA
National Provider Identifier
1235409665
Registry record updated Jan 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
G52680 Issued in CA
Practice address
90 7TH St
Suite 4-310
San Francisco, CA 94103-6701
Phone
(415) 437-8056
Fax
(415) 437-8008
NPI assigned
Jan 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G52680 CA
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X G52680 CA Primary

Addresses

Primary practice location

90 7TH St
Suite 4-310
San Francisco, CA 94103-6701

Mailing address

90 7TH St
Suite 4-310
San Francisco, CA 94103-6701
Phone (415) 437-8056

Other names 1

  • Leon Wugofski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G52680CAMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1235409665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 7TH ST",
            "address_2": "SUITE 4-310",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941036701",
            "telephone_number": "415-437-8056",
            "fax_number": "415-437-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 7TH ST",
            "address_2": "SUITE 4-310",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941036701",
            "telephone_number": "415-437-8056",
            "fax_number": "415-437-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUGOFSKI",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G52680",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "G52680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEON",
            "last_name": "WUGOFSKI",
            "credential": "MD, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.