Individual provider Active NPI

Anita Agarwal, MD

  • Retina Specialist (Ophthalmology) Physician
  • San Francisco, CA
National Provider Identifier
1508940628
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
C143101 Issued in CA
Practice address
1445 Bush St
San Francisco, CA 94109-5520
Phone
(415) 972-4600
Fax
(415) 975-0999
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X C143101 CA Primary
Ophthalmology Physician 207W00000X C143103 CA
Ophthalmology Physician 207W00000X MD29499 TN

Addresses

Primary practice location

1445 Bush St
San Francisco, CA 94109-5520

Mailing address

1445 Bush St
San Francisco, CA 94109-5520
Phone (415) 972-4600

Other practice location 1

1981 N Broadway Ste 265
Walnut Creek, CA 94596-3827
Phone (925) 295-1727

Other practice location 2

400 30th St Ste 402
Oakland, CA 94609-3305
Phone (510) 268-8277

Other practice location 3

100 Tamal Plz Ste 120
Corte Madera, CA 94925-1176
Phone (415) 927-6600

Other practice location 4

101 S San Mateo Dr Ste 306
San Mateo, CA 94401-3844
Phone (650) 342-7137

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aagarwal@westcoastretina.intellechartdirect.net

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
I20160829001449 CA Practitioner - Ophthalmology 2769510742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Retina Medical Group IncGroup PAC ID 6608860713, 8 clinicians

Practice addresses (Care Compare)

1445 Bush St
San Francisco, CA 94109-5520
Phone (415) 972-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29499TNMDPharmacist
C143103CAMDOphthalmology Physician
MD29499TNMDOphthalmology Physician
C143101CAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Retina Medical Group, Inc. Ophthalmology CurrentSince Oct 1, 2016 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Vanderbilt Univ. Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients
Vanderbilt University Medical Center Past Accepting new patients

Locations

100 Tamal Plz
Ste 120
Corte Madera, CA 94925
Phone (415) 927-6600

400 30th St
Ste 402
Oakland, CA 94609
Phone (415) 972-4600

1445 Bush St
San Francisco, CA 94109
Phone (415) 972-4600

101 S San Mateo Dr
Ste 306
San Mateo, CA 94401
Phone (415) 972-4600

35 Maple St
Sonoma, CA 95476
Phone (415) 972-4600

1981 N Broadway
Ste 265
Walnut Creek, CA 94596
Phone (415) 972-4600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aagarwal@westcoastretina.intellechartdirect.net
  • Direct secure messaging: aagarwal352317@hisp.ehr.sutterhealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1508940628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 BUSH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095520",
            "telephone_number": "415-972-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 BUSH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095520",
            "telephone_number": "415-972-4600",
            "fax_number": "415-975-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1981 N Broadway Ste 265",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945963827",
            "country_code": "US",
            "telephone_number": "925-295-1727",
            "fax_number": "925-954-7029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 30th St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093305",
            "country_code": "US",
            "telephone_number": "510-268-8277",
            "fax_number": "510-350-8803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Tamal Plz Ste 120",
            "address_purpose": "LOCATION",
            "city": "Corte Madera",
            "state": "CA",
            "postal_code": "949251176",
            "country_code": "US",
            "telephone_number": "415-927-6600",
            "fax_number": "415-891-3329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 S San Mateo Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944013844",
            "country_code": "US",
            "telephone_number": "650-342-7137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "C143101",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C143103",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD29499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aagarwal@westcoastretina.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1445 Bush St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941095520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.