Individual provider Active NPI

John Thomas Mongan, MD, PHD

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1396070199
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A110225 Issued in CA
Practice address
505 Parnassus Ave # M-391
San Francisco, CA 94143-0628
Phone
(415) 476-8358
Fax
(415) 476-0616
NPI assigned
Oct 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A110225 CA Primary

Addresses

Primary practice location

505 Parnassus Ave # M-391
San Francisco, CA 94143-0628

Mailing address

505 Parnassus Ave # M-391
San Francisco, CA 94143-0628
Phone (415) 476-8358

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
I20130506000440 CA Practitioner - Diagnostic Radiology 5496992745 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-1000

400 Parnassus Ave
McB300
San Francisco, CA 94143-0810
Phone (415) 476-1000

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jun 15, 2013 Accepting new patients
University of California San Francisco Diagnostic Radiology CurrentSince Jun 1, 2013 Accepting new patients
University of California San Francisco CurrentSince Jun 1, 2013 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 1, 2013 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 1, 2013 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Jun 15, 2013 Accepting new patients
University of California San Francisco Current Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

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

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

505 Parnassus Ave
#M391
San Francisco, CA 94143
Phone (415) 476-1537

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

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

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

Interoperability endpoints

  • Direct secure messaging: jmongan13811@direct-ucsfmedicalcenter.org

Organizations & group practices 7

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 1

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": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1396070199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M-391",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430628",
            "telephone_number": "415-476-8358",
            "fax_number": "415-476-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M-391",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430628",
            "telephone_number": "415-476-8358",
            "fax_number": "415-476-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGAN",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-12",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A110225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.