NPIMap

Individual provider Active NPI

Ann Margaret Petru, M.D.

  • Pediatric Infectious Diseases Physician
  • Oakland, CA
National Provider Identifier
1568490878
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
G40627 Issued in CA
Practice address
747 Fifty-Second Street
Oakland, CA 94609-1809
Phone
(510) 428-3337
Fax
(510) 601-3957
NPI assigned
Jun 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G40627 CA
Pediatric Infectious Diseases Physician 2080P0208X G40627 CA Primary

Addresses

Primary practice location

747 Fifty-Second Street
Oakland, CA 94609-1809

Mailing address

43 Agnes St
Oakland, CA 94618-2522
Phone (510) 428-3337

Other identifiers 3

IdentifierTypeStateIssuer
CGP 089750OtherCACCS PROVIDER NUMBER
CGP160130OtherCACCS CONSULTANT NUMBER
00G406270MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091130000286 CA Practitioner - Infectious DiseasePractitioner - Pediatric Medicine 6103965421 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Pediatric Medicine
Education
University of California, San Francisco School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G40627CAMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Pediatrics CurrentSince Dec 12, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 12, 2019 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Dec 12, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 12, 2019 Accepting new patients
University of California San Francisco CurrentSince Dec 12, 2019 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
Children's Hospital & Research Center at Oakland Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Riverside Medical Group PC Past Accepting new patients
UCSF Health Medical Foundation Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

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

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

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131

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

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

Interoperability endpoints

  • Direct secure messaging: apetru119275@direct-ucsfmedicalcenter.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568490878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 AGNES ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946182522",
            "telephone_number": "510-428-3337",
            "fax_number": "510-601-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 FIFTY-SECOND STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3337",
            "fax_number": "510-601-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRU",
        "first_name": "ANN",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G40627",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "G40627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS PROVIDER NUMBER",
            "identifier": "CGP 089750",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS CONSULTANT NUMBER",
            "identifier": "CGP160130",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G406270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.