Individual provider Active NPI

Philip Fagundes, LCSW

  • Social Worker
  • San Francisco, CA
National Provider Identifier
1538698410
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
136305 Issued in CA
Practice address
3850 17TH St
San Francisco, CA 94114-2031
Phone
(415) 860-4457
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 136305 CA Primary
Clinical Social Worker 1041C0700X 136305 CA

Addresses

Primary practice location

3850 17TH St
San Francisco, CA 94114-2031

Mailing address

3850 17TH St
San Francisco, CA 94114-2031
Phone (415) 860-4457

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312004069 CA Practitioner - Clinical Social Worker 5597248922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

375 Laguna Honda Blvd
San Francisco, CA 94116-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Jan 28, 2026 Accepting new patients
City & County of San Francisco CurrentSince Jan 28, 2026 Accepting new patients

Locations

3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500

Organizations & group practices 3

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1538698410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 17TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142031",
            "telephone_number": "415-860-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 17TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142031",
            "telephone_number": "415-860-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGUNDES",
        "first_name": "PHILIP",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "136305",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "136305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.