Individual provider Active NPI

Christina Victoria Mangurian, MD

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1548387202
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
233264 Issued in NY
Practice address
1001 Potrero Ave
Suite 7M
San Francisco, CA 94110-3518
Phone
(415) 206-5925
Fax
(415) 206-8942
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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 233264 NY Primary

Addresses

Primary practice location

1001 Potrero Ave
Suite 7M
San Francisco, CA 94110-3518

Mailing address

1001 Potrero Ave
Suite 7M
San Francisco, CA 94110-3518
Phone (415) 206-5925

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
I20090817000394 CA Practitioner - Psychiatry 9537213129 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233264NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
UCSF Psychiatry Psychiatry CurrentSince Jan 12, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 12, 2018 Accepting new patients
City and County of San Francisco CurrentSince Aug 21, 2019 Accepting new patients
City & County of San Francisco CurrentSince Aug 21, 2019 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Jan 12, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 12, 2018 Accepting new patients
University of California San Francisco CurrentSince Jan 12, 2018 Accepting new patients

Locations

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

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

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

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

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

1001 Potrero Ave
Ste 7M
San Francisco, CA 94110
Phone (415) 206-8362

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

1825 4th St
San Francisco, CA 94143
Phone (415) 353-3000

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

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

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

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

Interoperability endpoints

  • Direct secure messaging: cmangurian122580@direct-ucsfmedicalcenter.org

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1548387202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "SUITE 7M",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-5925",
            "fax_number": "415-206-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "SUITE 7M",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-5925",
            "fax_number": "415-206-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGURIAN",
        "first_name": "CHRISTINA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "233264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.