Individual provider Active NPI

Whitney D Bagby, PMHNP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1669989752
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95021750 Issued in CA
Practice address
245 11TH St
San Francisco, CA 94103-3732
Phone
(415) 355-0311
NPI assigned
Jan 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95228740 CA
Community Health Worker 172V00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021750 CA
Nurse Practitioner 363L00000X 95021750 CA Primary

Addresses

Primary practice location

245 11TH St
San Francisco, CA 94103-3732

Mailing address

245 11TH St
San Francisco, CA 94103-3732
Phone (415) 355-0311

Other practice location 1

52 Dore St
San Francisco, CA 94103-3828
Phone (415) 861-0828

Other practice location 2

368 Fell St
San Francisco, CA 94102-5144
Phone (415) 861-0828

Other practice location 3

4150 Clement St
San Francisco, CA 94121-1563
Phone (415) 221-4810

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
I20230828003270 CA Practitioner - Nurse Practitioner 5092178749 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians
Westside Community Mental Health CenterGroup PAC ID 9436204427, 6 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (415) 206-2305

245 11TH St
San Francisco, CA 94103-3732
Phone (415) 355-0311

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Pediatrics Associates CurrentSince Oct 14, 2024 Accepting new patients
University of California San Francisco CurrentSince Oct 14, 2024 Accepting new patients
University of California San Francisco Current Accepting new patients
Westside Community Mental Health Center Current Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Oct 14, 2024 Accepting new patients
University of California San Francisco CurrentSince Oct 14, 2024 Accepting new patients
UCSF Psychiatry CurrentSince Oct 14, 2024 Accepting new patients
Regents of the University of California CurrentSince Oct 14, 2024 Accepting new patients
City & County of San Francisco CurrentSince Feb 23, 2026 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 14, 2024 Accepting new patients
Westside Community Mental Health Center CurrentSince Aug 1, 2023 Accepting new patients
City and County of San Francisco CurrentSince Feb 23, 2026 Accepting new patients

Locations

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

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

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

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

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

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

4150 Clement St
San Francisco, CA 94121
Phone (415) 750-2110

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

245 11th St
San Francisco, CA 94103
Phone (415) 355-0311

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300

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

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

Interoperability endpoints

  • Direct secure messaging: wbagby115717@direct-ucsfmedicalcenter.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1669989752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 11TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033732",
            "telephone_number": "415-355-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 11TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033732",
            "telephone_number": "415-355-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Dore St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941033828",
            "country_code": "US",
            "telephone_number": "415-861-0828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 Fell St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941025144",
            "country_code": "US",
            "telephone_number": "415-861-0828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 Clement St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941211563",
            "country_code": "US",
            "telephone_number": "415-221-4810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGBY",
        "first_name": "WHITNEY",
        "middle_name": "D",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95228740",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021750",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95021750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.