Individual provider Active NPI

Angelina Logarta, NP

  • Nurse Practitioner
  • San Mateo, CA
National Provider Identifier
1659930972
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95010157 Issued in CA
Practice address
66 Bovet Rd Ste 105
San Mateo, CA 94402-3126
Phone
(650) 288-0826
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95010157 CA Primary

Addresses

Primary practice location

66 Bovet Rd Ste 105
San Mateo, CA 94402-3126

Mailing address

355 London St
San Francisco, CA 94112-2725
Phone (415) 707-9743

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
I20190731000923 CA Practitioner - Nurse Practitioner 2163758970 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of California San FranciscoGroup PAC ID 4486567229, 1,780 clinicians

Practice addresses (Care Compare)

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Sep 20, 2022 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Sep 20, 2022 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Sep 20, 2022 Accepting new patients
Regents of the University of California CurrentSince Sep 20, 2022 Accepting new patients
UCSF Dept of Surgery CurrentSince Sep 20, 2022 Accepting new patients
UCSF Pediatrics Associates CurrentSince Sep 20, 2022 Accepting new patients
University of California San Francisco CurrentSince Sep 20, 2022 Accepting new patients
Infusion Express of California Inc CurrentSince Jun 1, 2019 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

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

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

1825 4th St
Fl 4
San Francisco, CA 94143
Phone (415) 353-9888

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

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

66 Bovet Rd
Ste 105
San Mateo, CA 94402
Phone (510) 992-4114

Interoperability endpoints

  • Direct secure messaging: alogarta63778@direct-ucsfmedicalcenter.org

Organizations & group practices 10

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 1

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1659930972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 LONDON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122725",
            "telephone_number": "415-707-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOVET RD STE 105",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023126",
            "telephone_number": "650-288-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGARTA",
        "first_name": "ANGELINA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.