Individual provider Active NPI

Patrick R. Mulligan, M.D.

  • Diagnostic Radiology Physician
  • San Mateo, CA
National Provider Identifier
1710321138
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A134461 Issued in CA
Practice address
100 S San Mateo Dr
San Mateo, CA 94401-3805
Phone
(650) 696-4515
Fax
(650) 696-4626
NPI assigned
Apr 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A134461 CA Primary

Addresses

Primary practice location

100 S San Mateo Dr
San Mateo, CA 94401-3805

Mailing address

PO Box 6102
Novato, CA 94948-6102
Phone (415) 884-3404

Other practice location 1

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Other practice location 2

222 W 39th Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222

Other practice location 3

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191210001142 CA Practitioner - Diagnostic Radiology 2062845886 Reassigns benefits to 14 organizations
I20240117000252 MT Practitioner - Diagnostic Radiology 2062845886 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
Sidney Health CenterGroup PAC ID 0749181535, shared by 6 NPIs, 57 clinicians
RemloGroup PAC ID 5193800258, 32 clinicians
Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians
Warren General HospitalGroup PAC ID 4880501402, 100 clinicians
Virtual Radiologic Professionals of California PAGroup PAC ID 7719989342, 55 clinicians

Practice addresses (Care Compare)

100 S San Mateo Dr
San Mateo, CA 94401-3805
Phone (650) 696-4140

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5400

214 14TH Ave SW
Sidney, MT 59270-3521
Phone (406) 488-2112

216 14TH Ave SW
Sidney, MT 59270-3519
Phone (406) 488-2036

411 Beach Ave
Half Moon Bay, CA 94019-1403
Phone (309) 833-4101

515 Valencia Ave
El Granada, CA 94018-8099
Phone (952) 595-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A134461CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Jun 1, 2020 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Nov 3, 2024 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
County of San Mateo CurrentSince Feb 29, 2020 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Dec 30, 2024 Accepting new patients
Sidney Health Center CurrentSince Jan 15, 2024 Accepting new patients
Central Montana Medical Facilities, Inc Current Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Jul 2, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Dec 1, 2025 Accepting new patients
County of San Mateo CurrentSince Feb 29, 2020 Accepting new patients
Sidney Health Center Current Accepting new patients
Sidney Health Center Current Accepting new patients
Warren General Hospital Diagnostic Radiology CurrentSince Nov 6, 2024 Accepting new patients
County of San Mateo CurrentSince Feb 29, 2020 Accepting new patients
California Pacific Advanced Imaging Current Accepting new patients
Sutter Valley Medical Foundation Diagnostic Radiology Current Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jun 1, 2020 Accepting new patients
Remlo Diagnostic Radiology CurrentSince Jun 5, 2024 Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Sidney Health Center CurrentSince Jan 15, 2024 Accepting new patients
California Advanced Imaging Medical Associates Inc Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Dec 1, 2025 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Jun 10, 2024 Accepting new patients
Warren General Hospital CurrentSince Nov 6, 2024 Accepting new patients
Wishon Radiological Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
The Carle Foundation Hospital Past Accepting new patients
Richland Memorial Hospital, Inc Past Accepting new patients
Glendive Medical Center, Inc Diagnostic Radiology Past Accepting new patients
Sebasticook Valley Health Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Trinity Health Grand Haven Hospital Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Sutter East Bay Medical Foundation Diagnostic Radiology Past Accepting new patients
Hoopeston Community Memorial Hospital Past Accepting new patients
Mainehealth Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Central Maine Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Mainehealth Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients

Locations (25 of 43)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

1720 El Camino Real
Ste 118
Burlingame, CA 94010
Phone (650) 636-7850

1501 Trousdale Dr
Fl 1
Burlingame, CA 94010
Phone (650) 240-8198

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

1260 S Eliseo Dr
Ste 101
Greenbrae, CA 94904
Phone (415) 461-9033

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

500 Redwood Blvd
#300
Novato, CA 94947
Phone (415) 884-3418

795 El Camino Real
#1112
Palo Alto, CA 94301

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2315 Stockton Blvd
Ste 1200
Sacramento, CA 95817
Phone (916) 734-5394

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

Interoperability endpoints

  • Direct secure messaging: pmulligan547008@hisp.ehr.sutterhealth.org
  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 46

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 46

Hospital & facility affiliations 7

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": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1710321138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6102",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949486102",
            "telephone_number": "415-884-3404",
            "fax_number": "415-883-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013805",
            "telephone_number": "650-696-4515",
            "fax_number": "650-696-4626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Minnesota Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357915",
            "country_code": "US",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 W 39th Ave",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944034364",
            "country_code": "US",
            "telephone_number": "650-573-2222",
            "fax_number": "650-573-2122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Trousdale Dr",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940104506",
            "country_code": "US",
            "telephone_number": "650-696-5515",
            "fax_number": "650-696-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "PATRICK",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A134461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.