Individual provider Active NPI

Serine Avagyan, MD, PHD

  • Pediatric Hematology & Oncology Physician
  • San Francisco, CA
National Provider Identifier
1447540547
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
C183791 Issued in CA
Practice address
1825 4TH St FL 6
San Francisco, CA 94143-2350
Phone
(415) 353-2986
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 258105 MA
Pediatric Hematology & Oncology Physician 2080P0207X 267459 NY
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Hematology & Oncology Physician 2080P0207X C183791 CA Primary

Addresses

Primary practice location

1825 4TH St FL 6
San Francisco, CA 94143-2350

Mailing address

1825 4TH St FL 6
San Francisco, CA 94143-2350
Phone (415) 353-2986

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
I20230127002575 CA Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 6002030020 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C183791CAMDPediatric Hematology & Oncology Physician
267459NYMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Jan 20, 2023 Accepting new patients
University of California San Francisco CurrentSince Jan 20, 2023 Accepting new patients
UCSF Pediatrics Associates CurrentSince Jan 20, 2023 Accepting new patients
University of California San Francisco Pediatric Hematology-Oncology Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 20, 2023 Accepting new patients
University of California San Francisco CurrentSince Jan 20, 2023 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Children'S Hospital Corporation Past Accepting new patients
University of California San Francisco Past 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
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

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

Interoperability endpoints

  • Direct secure messaging: savagyan274895@direct-ucsfmedicalcenter.org

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1447540547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 4TH ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432350",
            "telephone_number": "415-353-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 4TH ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432350",
            "telephone_number": "415-353-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVAGYAN",
        "first_name": "SERINE",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MA",
            "license": "258105",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "267459",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CA",
            "license": "C183791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.