Active NPI
Serine Avagyan, MD, PHD
- Pediatric Hematology & Oncology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- C183791
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C183791 | CA | MD | Pediatric Hematology & Oncology Physician |
| 267459 | NY | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Pediatrics Associates | Current | Accepting new patients | |
| University of California San Francisco | Pediatric Hematology-Oncology | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | 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
- 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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
Pediatric Hematology-Oncology
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
-
- Diagnostic Radiology Physician
- Jamaica Plain, MA
- NPI 1578549507
-
- Children's Hospital
- Boston, MA
- NPI 1710087127
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.