Individual provider Active NPI

M Reza Vagefi, MD

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1760432801
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A84915 Issued in CA
Practice address
400 Parnassus Ave
Suite A750
San Francisco, CA 94143-2202
Phone
(415) 353-2142
Fax
(415) 514-6034
NPI assigned
May 11, 2006
Last updated
Sep 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 61218121205 UT
Ophthalmology Physician 207W00000X MD434362 PA
Ophthalmology Physician 207W00000X A84915 CA Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 61218121205 UT
Plastic and Reconstructive Surgery Physician 2086S0122X A84915 CA

Addresses

Primary practice location

400 Parnassus Ave
Suite A750
San Francisco, CA 94143-2202

Mailing address

10 Koret Way
Room K201
San Francisco, CA 94143-0730
Phone (415) 476-1922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 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
I20110606000610 CA Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 3870596323 Reassigns benefits to 3 organizations
I20230601001962 MA Practitioner - Ophthalmology 3870596323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pratt Ophthalmology Associates IncGroup PAC ID 8628960218, 55 clinicians

Practice addresses (Care Compare)

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5487

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84915CAMDPharmacist
A84915CAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jun 15, 2011 Accepting new patients
Pratt Ophthalmology Associates, Inc CurrentSince Apr 25, 2023 Accepting new patients
Pratt Ophthalmology Associates Inc Ophthalmology CurrentSince Apr 25, 2023 Accepting new patients
University of California San Francisco CurrentSince May 15, 2011 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 15, 2011 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
UCSF Medical Group Business Services Ophthalmology CurrentSince May 15, 2011 Accepting new patients
University of California San Francisco CurrentSince May 15, 2011 Accepting new patients
University of California SFGH Medical Group Ophthalmology CurrentSince Jun 15, 2011 Accepting new patients
University of California San Francisco Current Accepting new patients
Oculoplastic Surgery, Inc. Ophthalmology PastSince Oct 1, 2023 Accepting new patients

Locations

10 Koret Way
Rm K201
San Francisco, CA 94143

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

1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632

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

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

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

400 Parnassus Ave
Ste A750
San Francisco, CA 94143
Phone (415) 353-2142

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

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

Interoperability endpoints

  • Direct secure messaging: mvagefi92469@tuftsmedicine.direct-ci.com
  • Direct secure messaging: rvagefi@pea1103.srs-direct.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tufts Medical Center IncBoston, MA, CCN 220116 Hospital Operational/Managerial Control (100%) Sep 5, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1760432801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KORET WAY",
            "address_2": "ROOM K201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430730",
            "telephone_number": "415-476-1922",
            "fax_number": "415-514-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVE",
            "address_2": "SUITE A750",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432202",
            "telephone_number": "415-353-2142",
            "fax_number": "415-514-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGEFI",
        "first_name": "M REZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "61218121205",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD434362",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A84915",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "UT",
            "license": "61218121205",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A84915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.