Individual provider Active NPI

Alissa Erogbogbo, MD

  • Obstetrics & Gynecology Physician
  • San Francisco, CA
National Provider Identifier
1629234554
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C138885 Issued in CA
Practice address
1855 4TH St FL 3
San Francisco, CA 94143-2350
Phone
(415) 353-3400
Fax
(415) 353-9509
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036121413 IL
Obstetrics & Gynecology Physician 207V00000X C138885 CA Primary

Addresses

Primary practice location

1855 4TH St FL 3
San Francisco, CA 94143-2350

Mailing address

1855 4TH St FL 3
San Francisco, CA 94143-2350
Phone (415) 353-3400

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
I20151202001311 CA Practitioner - Obstetrics/Gynecology 6709954233 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2299 Mowry Ave
Suite 3C
Fremont, CA 94538-1621
Phone (510) 248-1470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C138885CAMDObstetrics & Gynecology Physician
036121413ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Oct 15, 2015 Accepting new patients
University of California San Francisco CurrentSince Apr 15, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 15, 2024 Accepting new patients
UCSF Medical Group Business Services Obstetrics & Gynecology CurrentSince Apr 15, 2024 Accepting new patients
University of California San Francisco CurrentSince Apr 15, 2024 Accepting new patients
Washington Township Medical Group Past Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

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

1855 4th St
Fl 3
San Francisco, CA 94143
Phone (415) 353-2566

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

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

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

Interoperability endpoints

  • Direct secure messaging: aerogbogbo115480@alamedahs.direct-ci.com
  • Direct secure messaging: aerogbogbo342836@direct-ucsfmedicalcenter.org

Organizations & group practices 7

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": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1629234554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 4TH ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432350",
            "telephone_number": "415-353-3400",
            "fax_number": "415-353-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 4TH ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432350",
            "telephone_number": "415-353-3400",
            "fax_number": "415-353-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EROGBOGBO",
        "first_name": "ALISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036121413",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C138885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.