Individual provider Active NPI

Matthew Bucknor, M.D.

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1407181274
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A111072 Issued in CA
Practice address
505 Parnassus Ave # M-391
San Francisco, CA 94143-0628
Phone
(415) 476-8358
NPI assigned
Oct 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X A111072 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

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
I20130701000250 CA Practitioner - Diagnostic Radiology 9739329459 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Stanford University 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)

1600 Divisadero St
McB302
San Francisco, CA 94115-3010
Phone (415) 476-1000

185 Berry St
San Francisco, CA 94107-5705
Phone (415) 476-1000

225 California Dr
Burlingame, CA 94010-4145
Phone (650) 341-9131

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

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
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

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince May 15, 2014 Accepting new patients
University of California San Francisco Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince May 15, 2014 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2014 Accepting new patients
City and County of San Francisco CurrentSince May 21, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2014 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2014 Accepting new patients
University of California San Francisco Current Accepting new patients
City & County of San Francisco Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
University of California San Francisco Past Accepting new patients
Regents of the University of California Past Accepting new patients
Laguna Honda Hospital Pharmacy Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

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

505 Parnassus Ave
Ste M391
San Francisco, CA 94143
Phone (415) 443-0193

505 Parnassus Ave
Rm M391
San Francisco, CA 94143
Phone (415) 353-1821

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

520 Illinois St
San Francisco, CA 94143
Phone (415) 353-9188

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

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

375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300

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

1100 Park Pl
San Mateo, CA 94403
Phone (415) 502-8940

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Organizations & group practices 15

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.

View all 15

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": "1369785600000",
    "number": "1407181274",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNOR",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-12",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A111072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.