Individual provider Active NPI

Michael A. Pogrel, MD, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Francisco, CA
National Provider Identifier
1679539530
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
A52418 Issued in CA
Practice address
521 Parnassus Ave
San Francisco, CA 94143-2206
Phone
(415) 476-3242
Fax
(415) 476-0665
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X A52418 CA Primary

Addresses

Primary practice location

521 Parnassus Ave
San Francisco, CA 94143-2206

Mailing address

1635 Divisadero Street, Suite 625, Box 1821
San Francisco, CA 94143-0001

Other identifiers 1

IdentifierTypeStateIssuer
00A524180MedicaidCA

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
I20090127000130 CA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 1456415058 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35154CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Oral & Maxillofacial Surgery Oral & Maxillofacial Surgery CurrentSince Dec 10, 2017 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Aug 26, 2017 Accepting new patients
University of California San Francisco CurrentSince Aug 26, 2017 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

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

513 Parnassus Ave
Ste 476
San Francisco, CA 94143

707 Parnassus Ave
#D1201
San Francisco, CA 94143
Phone (415) 476-1316

513 Parnassus Ave
Rm S722
San Francisco, CA 94143
Phone (415) 476-2045

513 Parnassus Ave
#S738
San Francisco, CA 94143
Phone (415) 476-1316

707 Parnassus Ave
Rm D1050
San Francisco, CA 94143
Phone (415) 476-1316

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

513 Parnassus Ave
Rm S738
San Francisco, CA 94143
Phone (415) 476-3242

707 Parnassus Ave
Rm D1201
San Francisco, CA 94143
Phone (415) 476-1316

1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000

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

1635 Divisadero St
Ste 625
San Francisco, CA 94115
Phone (415) 476-1977

513 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-1239

521 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9035

707 Parnassus Ave
Ste D1201
San Francisco, CA 94143
Phone (415) 476-1316

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

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

513 Parnassus Ave
#738
San Francisco, CA 94143

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

Interoperability endpoints

  • Direct secure messaging: mpogrel15948@direct-ucsfmedicalcenter.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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1679539530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO STREET, SUITE 625, BOX 1821",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432206",
            "telephone_number": "415-476-3242",
            "fax_number": "415-476-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGREL",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A52418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A524180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.