Active NPI
Jerad Michael Landeros, MD
- Internal Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A180428
- Practice address
- 25 Castro St
San Francisco, CA 94114-1008 - Phone
- (415) 600-6000
- NPI assigned
- Apr 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A180428 | CA | Primary |
Addresses
Primary practice location
25 Castro St
San Francisco, CA 94114-1008
Mailing address
601 Van Ness Ave Ste E3619
San Francisco, CA 94102-3200
Phone (415) 666-6568
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, San Francisco School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone (415) 485-8824
Hospital & facility affiliations
- California Pacific Medical Ctr-Davies Campus Hosp
- California Pacific Medical Center- Van Ness Campus
- California Pacific Medical Center - Mission Bernal
- Sutter Santa Rosa Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 90
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A180428 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Inpatient Medical Group | Internal Medicine | Current | Accepting new patients |
Locations
1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824
601 Van Ness Ave
Ste E3619
San Francisco, CA 94102
Phone (415) 531-9047
3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824
Organizations & group practices 1
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
- San Francisco, CA
- NPI 1447447248
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1235792789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 VAN NESS AVE STE E3619",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941023200",
"telephone_number": "415-666-6568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CASTRO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141008",
"telephone_number": "415-600-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDEROS",
"first_name": "JERAD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-19",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A180428",
"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 Sep 12, 2024; 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.