Individual provider Active NPI

Herbert Bernabe Castillo Valladares

  • Dermatology Physician
  • San Francisco, CA
National Provider Identifier
1326501743
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A181788 Issued in CA
Practice address
1701 Divisadero St
San Francisco, CA 94115-3011
Phone
(415) 353-7800
NPI assigned
Apr 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A181788 CA Primary

Addresses

Primary practice location

1701 Divisadero St
San Francisco, CA 94115-3011

Mailing address

1701 Divisadero St FL 3
San Francisco, CA 94115-3011
Phone (415) 353-7800

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
I20230726003063 CA Practitioner - Dermatology 7719394915 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 Divisadero St
San Francisco, CA 94115-3011
Phone (415) 476-1000

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

995 Potrero Ave BLDG
Suite 92
San Francisco, CA 94110-2859
Phone (628) 206-4777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions83
Skin biopsy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A181788CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jul 9, 2023 Accepting new patients
University of California San Francisco Dermatology CurrentSince Jun 30, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 30, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California SFGH Medical Group Dermatology CurrentSince Jul 9, 2023 Accepting new patients
UCSF Medical Group Business Services Dermatology CurrentSince Jun 30, 2023 Accepting new patients
City and County of San Francisco CurrentSince Jul 25, 2023 Accepting new patients
City & County of San Francisco CurrentSince Jul 25, 2023 Accepting new patients
University of California San Francisco CurrentSince Jun 30, 2023 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

995 Potrero Ave
Bldg 90
San Francisco, CA 94110
Phone (628) 206-4777

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

1701 Divisadero St
San Francisco, CA 94115
Phone (415) 353-7300

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

1701 Divisadero St
Fl 3
San Francisco, CA 94115
Phone (415) 353-7800

1701 Divisadero St
Fl 4
San Francisco, CA 94115
Phone (415) 353-7800

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

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

Interoperability endpoints

  • Direct secure messaging: hcastillovalladares127674@direct-ucsfmedicalcenter.org

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1326501743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153011",
            "telephone_number": "415-353-7800",
            "fax_number": "415-353-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153011",
            "telephone_number": "415-353-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO VALLADARES",
        "first_name": "HERBERT",
        "middle_name": "BERNABE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A181788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.