NPIMap

Organization Active NPI

Peter a Von Rogov Mda Professional Corporation

  • Orthopaedic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1720265937
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A23061 Issued in CA
Legal business name
PETER A VON ROGOV MDA PROFESSIONAL CORPORATION
Practice address
2100 Webster St Ste 300
San Francisco, CA 94115
Phone
(415) 749-5743
Fax
(415) 673-4971
NPI assigned
Jan 30, 2008
Last updated
Oct 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Peter A Von Rogov, MDNPI 1891871075
Title
President
Phone
(415) 749-5743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A23061 CA Primary

Addresses

Primary practice location

2100 Webster St Ste 300
San Francisco, CA 94115

Mailing address

2100 Webster St Ste 300
San Francisco, CA 94115
Phone (415) 749-5743

Other identifiers 1

IdentifierTypeStateIssuer
GR0014400MedicaidCA

National Provider Directory

National Provider Directory

Locations

2100 Webster St
Ste 300
San Francisco, CA 94115
Phone (415) 749-5743

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1720265937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-749-5743",
            "fax_number": "415-673-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-749-5743",
            "fax_number": "415-673-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A VON ROGOV MDA PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "VON ROGOV",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-749-5743",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A23061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0014400",
            "state": "CA"
        }
    ],
    "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 Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.