Active NPI
Amy Gin, M.D.
- Interventional Cardiology Physician
- Larkspur, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A108101
- Practice address
- 2 Bon Air Rd Ste 100
Larkspur, CA 94939-1144 - Phone
- (415) 927-0666
- Fax
- (415) 927-6168
- NPI assigned
- Apr 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | A108101 | CA | Primary |
Addresses
Primary practice location
2 Bon Air Rd Ste 100
Larkspur, CA 94939-1144
Mailing address
2 Bon Air Rd
Ste 100
Larkspur, CA 94939-1144
Phone (415) 927-0666
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110804000642 | CA | Practitioner - Interventional Cardiology | 1254500499 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- New York Medical College, 2007
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Regents Univ of California UCSF
Practice addresses (Care Compare)
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Hospital & facility affiliations
- Marinhealth Medical Center
- Novato Community Hospital
- UCSF Medical Center
- Sonoma Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.03 of 100
- Quality
- 80.86
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 75.91
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Regents Univ of California UCSF | Cardiovascular Disease | Current | Accepting new patients |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| Marin General Hospital | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
2 Bon Air Rd
Ste 100
Larkspur, CA 94939
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
335 S McDowell Blvd
Petaluma, CA 94954
Phone (415) 493-3800
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Interoperability endpoints
- agin13519@direct-ucsfmedicalcenter.org
- agin51048@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
CA, Cardiovascular Disease
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1598080442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BON AIR RD",
"address_2": "STE 100",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391144",
"telephone_number": "415-927-0666",
"fax_number": "415-927-6168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BON AIR RD STE 100",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391144",
"telephone_number": "415-927-0666",
"fax_number": "415-927-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIN",
"first_name": "AMY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A108101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Larkspur, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.