Individual provider Active NPI

Virginia S. Gjedsted, MSN,NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1467498956
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
327833 Issued in CA
Practice address
1701 Divisadero St 5TH Floor
San Francisco, CA 94143-0001
Phone
(415) 885-3544
Fax
(415) 353-7901
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 327833 CA Primary

Addresses

Primary practice location

1701 Divisadero St 5TH Floor
San Francisco, CA 94143-0001

Mailing address

1635 Divisadero Street
Suite 625, Box 1821
San Francisco, CA 94143-0001

Other identifiers 1

IdentifierTypeStateIssuer
003278330MedicaidCA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050303000612 CA Practitioner - Nurse Practitioner 6800840737 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Jun 10, 2018 Accepting new patients
Regents of the University of California CurrentSince Jul 21, 2013 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 10, 2018 Accepting new patients
University of California San Francisco Current Accepting new patients

Locations

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

3333 California St
Ste 110
San Francisco, CA 94118

1701 Divisadero St
San Francisco, CA 94115
Phone (415) 353-7300

1701 Divisadero St
Fl 5
San Francisco, CA 94115
Phone (415) 353-7300

1635 Divisadero St
Ste 625
San Francisco, CA 94115
Phone (415) 476-1977

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

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

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

Organizations & group practices 4

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1467498956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO STREET",
            "address_2": "SUITE 625, BOX 1821",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST 5TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001",
            "telephone_number": "415-885-3544",
            "fax_number": "415-353-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJEDSTED",
        "first_name": "VIRGINIA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "MSN,NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "327833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003278330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.