Active NPI
Renata C. Gallagher, M.D.
- Clinical Genetics (M.D.) Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- A77290
- Practice address
- 550 16TH Street, Box 0706
Fourth Floor
San Francisco, CA 94143 - Phone
- (415) 476-9997
- Fax
- (415) 476-9976
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A77290 | CA | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | A77290 | CA | Primary |
| Clinical Biochemical Genetics Physician | 207SG0202X | A77290 | CA |
Addresses
Primary practice location
550 16TH Street, Box 0706
Fourth Floor
San Francisco, CA 94143
Mailing address
550 16TH Street, Box 0706
Fourth Floor
San Francisco, CA 94143
Phone (415) 476-9997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90334272 | Medicaid | CO |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77290 | CA | MD | Pharmacist |
| A77290 | CA | MD | Clinical Genetics (M.D.) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Pediatrics Associates | Clinical Genetics (M.D.) | Current | Accepting new patients |
| University of California San Francisco | Pediatrics | Current | Accepting new patients |
| University of California San Francisco | Pediatrics | Current | Accepting new patients |
| Valley Children's Medical Group | Pediatrics | Past | Accepting new patients |
Locations
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
550 16th St
Fl Fourth
San Francisco, CA 94143
Phone (415) 476-9997
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rgallagher91552@valleychildrens-prd.direct-ci.com
Organizations & group practices 5
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.
-
dba UCSF Medical Center
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
Clinical Genetics (M.D.)
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
dba UCSF Medical Center
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
Pediatrics
-
dba UCSF Outpatient Pharmacy at Parnassus
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- Pediatrics Physician
- Modesto, CA
- NPI 1437555265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1699880856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 16TH STREET, BOX 0706",
"address_2": "FOURTH FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94143",
"telephone_number": "415-476-9997",
"fax_number": "415-476-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 16TH STREET, BOX 0706",
"address_2": "FOURTH FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94143",
"telephone_number": "415-476-9997",
"fax_number": "415-476-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "RENATA",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A77290",
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "CA",
"license": "A77290",
"primary": true
},
{
"code": "207SG0202X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Biochemical Genetics",
"state": "CA",
"license": "A77290",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90334272",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.