Individual provider Active NPI

Anton Nigusse Bland, MD

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1508026097
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A125483 Issued in CA
Practice address
1001 Potrero Ave
San Francisco, CA 94110-3518
Phone
(628) 206-8426
Fax
(628) 206-8942
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A125483 CA Primary

Addresses

Primary practice location

1001 Potrero Ave
San Francisco, CA 94110-3518

Mailing address

1001 Potrero Ave
UCSF Box 0852-7M8
San Francsico, CA 94110-3518
Phone (628) 206-8426

Other names 1

  • Demedrick Anton Bland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

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
A125483CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Psychiatry Psychiatry CurrentSince Aug 16, 2023 Accepting new patients
University of California SFGH Medical Group Psychiatry CurrentSince Jan 18, 2017 Accepting new patients
University of California San Francisco CurrentSince Aug 16, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 16, 2023 Accepting new patients
Alameda Health System Current Accepting new patients
University of California SFGH Medical Group CurrentSince Jan 18, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 16, 2023 Accepting new patients
Alameda Health System CurrentSince Jul 15, 2013 Accepting new patients
University of California San Francisco CurrentSince Aug 16, 2023 Accepting new patients

Locations

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

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

1001 Potrero Ave
Rm 7M
San Francisco, CA 94110
Phone (415) 206-5612

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

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

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

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

1001 Potrero Ave
#8527M8
San Francisco, CA 94110

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

Organizations & group practices 9

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1508026097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "UCSF BOX 0852-7M8",
            "city": "SAN FRANCSICO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-8426",
            "fax_number": "628-206-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-8426",
            "fax_number": "628-206-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGUSSE BLAND",
        "first_name": "ANTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A125483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMEDRICK",
            "last_name": "BLAND",
            "middle_name": "ANTON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.