Individual provider Active NPI

Marta San Luciano Palenzuela, M.D.

  • Neurology Physician
  • San Francisco, CA
National Provider Identifier
1407806250
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A119098 Issued in CA
Practice address
1635 Divisadero St
Suite 520-530
San Francisco, CA 94115-3036
Phone
(415) 353-2311
Fax
(415) 353-9060
NPI assigned
May 11, 2006
Last updated
May 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A119098 CA Primary
Neurology Physician 2084N0400X 003600 NY

Addresses

Primary practice location

1635 Divisadero St
Suite 520-530
San Francisco, CA 94115-3036

Mailing address

1635 Divisadero St
Suite 520-530
San Francisco, CA 94115-3036
Phone (415) 353-2311

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
I20120424000268 CA Practitioner - Neurology 5294923785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
003600NYMDMental Health Counselor
A119098CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Neurology CurrentSince Feb 1, 2012 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 1, 2012 Accepting new patients
UCSF Medical Group Business Services Neurology CurrentSince Feb 1, 2012 Accepting new patients
University of California San Francisco CurrentSince Feb 1, 2012 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1635 Divisadero St
Ste 520
San Francisco, CA 94115
Phone (415) 353-2311

1635 Divisadero St
Ste 520530
San Francisco, CA 94115
Phone (415) 353-2311

1651 4th St
Fl 2
San Francisco, CA 94158
Phone (415) 353-2069

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

3333 California St
Ste 110
San Francisco, CA 94118

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

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

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

Interoperability endpoints

  • Direct secure messaging: msanlucianopalenzuela32277@direct-ucsfmedicalcenter.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1407806250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST",
            "address_2": "SUITE 520-530",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153036",
            "telephone_number": "415-353-2311",
            "fax_number": "415-353-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST",
            "address_2": "SUITE 520-530",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153036",
            "telephone_number": "415-353-2311",
            "fax_number": "415-353-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN LUCIANO PALENZUELA",
        "first_name": "MARTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A119098",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "003600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.