Individual provider Active NPI

Lois Vanderhagen, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1366476673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G69026 Issued in CA
Practice address
2333 Buchanan St
San Francisco, CA 94115-1925
Phone
(925) 634-9704
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G69026 CA Primary

Addresses

Primary practice location

2333 Buchanan St
San Francisco, CA 94115-1925

Mailing address

PO Box 1470
Suisun City, CA 94585-4470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080216000057 CA Practitioner - Internal Medicine 6103909957 Reassigns benefits to 1 organization
I20190502000922 MT Practitioner - HospitalistPractitioner - Internal Medicine 6103909957 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Peter'S Health Current Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
St. Peter'S Health CurrentSince Apr 13, 2019 Accepting new patients
St Peters Hospital CurrentSince Apr 13, 2019 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Inpatient Management Medical Group Inc Internal Medicine Past Accepting new patients
Dignity Health Past Accepting new patients
St. Joseph Hospital Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

Interoperability endpoints

  • Direct secure messaging: lvanderhagen95990@direct.whhs.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366476673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945854470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 BUCHANAN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151925",
            "telephone_number": "925-634-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHAGEN",
        "first_name": "LOIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G69026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.