Individual provider Active NPI

Louisa Linsley Munger, PA-C

  • Surgical Physician Assistant
  • Novato, CA
National Provider Identifier
1598874653
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
17524 Issued in CA
Practice address
7100 Redwood Blvd Ste 200
Novato, CA 94945-4110
Phone
(415) 927-5300
NPI assigned
Aug 30, 2006
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
Physician Assistant 363A00000X PA17524 CA
Surgical Physician Assistant 363AS0400X 17524 CA Primary

Addresses

Primary practice location

7100 Redwood Blvd Ste 200
Novato, CA 94945-4110

Mailing address

18 Bon Air Rd
Larkspur, CA 94939-1123
Phone (415) 927-5300

Other practice location 1

3901 Las Posas Rd Ste 4
Camarillo, CA 93010-1502
Phone (805) 585-5166

Other practice location 2

18 Bon Air Rd
Larkspur, CA 94939-1123
Phone (415) 927-5300

Other identifiers 1

IdentifierTypeStateIssuer
PA17524OtherCALICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100729000068 CA Practitioner - Physician Assistant 4981772647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
17524CAMDProfessional Counselor
PA17524CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
California Orthopedics & Spine Inc CurrentSince Oct 5, 2020 Accepting new patients
California Orthopedics & Spine Inc CurrentSince Oct 5, 2020 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

18 Bon Air Rd
Larkspur, CA 94939
Phone (415) 927-5300

2 Bon Air Rd
Ste 120
Larkspur, CA 94939
Phone (415) 496-2812

7100 Redwood Blvd
Ste 200
Novato, CA 94945
Phone (415) 492-1600

Interoperability endpoints

  • Direct secure messaging: lmunger338714@direct-ucsfmedicalcenter.org

Organizations & group practices 4

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 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598874653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BON AIR RD",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391123",
            "telephone_number": "415-927-5300",
            "fax_number": "415-927-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 REDWOOD BLVD STE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949454110",
            "telephone_number": "415-927-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Las Posas Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930101502",
            "country_code": "US",
            "telephone_number": "805-585-5166",
            "fax_number": "805-383-1786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Bon Air Rd",
            "address_purpose": "LOCATION",
            "city": "Larkspur",
            "state": "CA",
            "postal_code": "949391123",
            "country_code": "US",
            "telephone_number": "415-927-5300",
            "fax_number": "415-927-6860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNGER",
        "first_name": "LOUISA",
        "middle_name": "LINSLEY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-03-07",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17524",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "17524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA17524",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.