Individual provider Active NPI

Vanja Christopher Douglas, M.D.

  • Neurology Physician
  • San Francisco, CA
National Provider Identifier
1417087784
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A94749 Issued in CA
Practice address
505 Parnassus Ave # M798
Campus Mail Box 0114
San Francisco, CA 94143-2204
Phone
(415) 476-1489
NPI assigned
Mar 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Neurology Physician 2084N0400X A94749 CA Primary

Addresses

Primary practice location

505 Parnassus Ave # M798
Campus Mail Box 0114
San Francisco, CA 94143-2204

Mailing address

505 Parnassus Ave # M798
Campus Mail Box 0114
San Francisco, CA 94143-2204
Phone (415) 476-1489

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
I20080612000232 CA Practitioner - Neurology 8022189422 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, San Francisco School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518

1001 Potrero Ave BLDG 80 Ward 83
Suite 32
San Francisco, CA 94110-3518
Phone (628) 206-8610

1701 Divisadero St
San Francisco, CA 94115-3011
Phone (415) 476-1000

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

400 Parnassus Ave
San Francisco, CA 94143-2202

450 Stanyan St
San Francisco, CA 94117-1019
Phone (415) 750-5750

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

521 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

900 Hyde St
San Francisco, CA 94109-4806
Phone (415) 353-6333

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

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jun 15, 2008 Accepting new patients
UCSF Medical Group Business Services Neurology CurrentSince Jun 15, 2008 Accepting new patients
City & County of San Francisco Current Accepting new patients
City and County of San Francisco CurrentSince Nov 12, 2019 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2008 Accepting new patients
University of California SFGH Medical Group Neurology CurrentSince Jul 1, 2008 Accepting new patients
City & County of San Francisco CurrentSince Nov 12, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 15, 2008 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Neurology CurrentSince Jun 15, 2008 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

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

1600 Divisadero St
San Francisco, CA 94143
Phone (415) 567-6600

505 Parnassus Ave
#M798
San Francisco, CA 94143
Phone (415) 476-1487

1001 Potrero Ave
Bldg 1
San Francisco, CA 94110
Phone (628) 206-6182

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

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

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

Interoperability endpoints

  • Direct secure messaging: vdouglas15268@direct-ucsfmedicalcenter.org

Organizations & group practices 12

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 4

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417087784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M798",
            "address_2": "CAMPUS MAIL BOX 0114",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-476-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M798",
            "address_2": "CAMPUS MAIL BOX 0114",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-476-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "VANJA",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A94749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.