Active NPI
Pamela M. Mallari-Ramos, M.D.
- Vascular & Interventional Radiology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- A105572
- Practice address
- 1001 Potrero Avenue
BLDG. 5 1St FL
San Francisco, CA 94110 - Phone
- (628) 206-8020
- NPI assigned
- Nov 3, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | A105572 | CA | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD60662702 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | MD60662702 | WA |
Addresses
Primary practice location
1001 Potrero Avenue
BLDG. 5 1St FL
San Francisco, CA 94110
Mailing address
PO Box 743749
Los Angeles, CA 90074-3749
Other practice location 1
1550 N 115th St
Seattle, WA 98133-8401
Phone (206) 520-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396736658 | Medicaid | WA |
Other names 1
- Pamel M. Mallari
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
- Interventional Radiology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
375 Laguna Honda Blvd
San Francisco, CA 94116-1411
PO Box
Los Angeles, CA 90074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105572 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California SFGH Medical Group | Current | Accepting new patients | |
| City and County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients | |
| University of California SFGH Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| City & County of San Francisco | Current | Accepting new patients |
Locations
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753
Organizations & group practices 5
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.
-
- Clinical Medical Laboratory
- San Francisco, CA
- NPI 1982737524
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1063487122
-
- Community Health/Public Health Clinical Nurse Specialist
- San Francisco, CA
- NPI 1609041060
-
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1396736658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743749",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900743749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 POTRERO AVENUE",
"address_2": "BLDG. 5 1ST FL",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "628-206-8020"
}
],
"practiceLocations": [
{
"address_1": "1550 N 115th St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981338401",
"country_code": "US",
"telephone_number": "206-520-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLARI-RAMOS",
"first_name": "PAMELA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A105572",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WA",
"license": "MD60662702",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60662702",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396736658",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMEL",
"last_name": "MALLARI",
"middle_name": "M.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 21, 2025; 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.