Individual provider Active NPI

Luis Alesandro Larrazabal Martinez, MD

  • Pediatric Cardiology Physician
  • San Francisco, CA
National Provider Identifier
1316252893
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A115533 Issued in CA
Practice address
1001 Potrero Avenue
BLDG. 5, #6M
San Francisco, CA 94110-3518
Phone
(628) 206-8361
NPI assigned
Aug 9, 2010
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X U7458 TX
Pediatrics Physician 208000000X A115533 CA
Pediatric Cardiology Physician 2080P0202X U7458 TX
Pediatric Cardiology Physician 2080P0202X A115533 CA Primary

Addresses

Primary practice location

1001 Potrero Avenue
BLDG. 5, #6M
San Francisco, CA 94110-3518

Mailing address

1015 Rhode Island St
San Francisco, CA 94107-3214
Phone (617) 319-4012

Other practice location 1

1015 Rhode Island St
San Francisco, CA 94107
Phone (415) 599-0988

Other names 1

  • Luis Alesandro Larrazabal Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

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
I20160420001821 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 0648578849 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115533CAMDPediatric Cardiology Physician
U7458TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jul 1, 2024 Accepting new patients
Permanente Medical Group Inc Pediatrics Current Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Clarity Pediatrics Medical Group PLLC Pediatrics Current Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2024 Accepting new patients
City and County of San Francisco CurrentSince Jun 25, 2024 Accepting new patients
City & County of San Francisco CurrentSince Jun 25, 2024 Accepting new patients
Luis Alesandro Larrazabal Martinez MD PC Pediatrics CurrentSince Mar 1, 2024 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

3505 Broadway
Oakland, CA 94611
Phone (510) 752-1200

275 W MacArthur Blvd
Piedmont, CA 94611
Phone (510) 752-1375

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

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

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

4153 24th St
Ste 4
San Francisco, CA 94114
Phone (415) 599-0988

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

5601 Executive Dr
Ste 500
Irving, TX 75038
Phone (415) 599-0988

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26511/brand/1/csg/1/fhir/r4
  • Direct secure messaging: llarrazabal13710@direct-ucsfmedicalcenter.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1316252893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 RHODE ISLAND ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073214",
            "telephone_number": "617-319-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVENUE",
            "address_2": "BLDG. 5, #6M",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-8361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Rhode Island St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94107",
            "country_code": "US",
            "telephone_number": "415-599-0988",
            "fax_number": "866-651-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARRAZABAL MARTINEZ",
        "first_name": "LUIS",
        "middle_name": "ALESANDRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-09",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U7458",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A115533",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "U7458",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A115533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "275 W MacArthur Blvd",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946115641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "LARRAZABAL",
            "middle_name": "ALESANDRO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.