Individual provider Active NPI

Negin Agange, MD

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1760741045
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A136804 Issued in CA
Practice address
490 Post St
Suite 640
San Francisco, CA 94102-1401
Phone
(415) 982-2020
Fax
(415) 982-2011
NPI assigned
May 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A136804 CA Primary

Addresses

Primary practice location

490 Post St
Suite 640
San Francisco, CA 94102-1401

Mailing address

490 Post St
Suite 640
San Francisco, CA 94102-1401
Phone (415) 982-2020

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
I20150820010036 CA Practitioner - Ophthalmology 6800101890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Irvine, California College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

29525 Canwood St
Suite 300
Agoura Hills, CA 91301-4232
Phone (818) 706-2477

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136804CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Feb 1, 2021 Accepting new patients
Kevin Tan, MD and Productions, Inc Ophthalmology CurrentSince Nov 7, 2016 Accepting new patients
Providence Medical Institute CurrentSince Feb 1, 2021 Accepting new patients
St Francis Medical Center Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

29525 Canwood St
Ste 300
Agoura Hills, CA 91301
Phone (818) 345-5580

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

5100 W Goldleaf Cir
Fl 2
Los Angeles, CA 90056
Phone (323) 293-7171

360 Post St
Ste 1005
San Francisco, CA 94108
Phone (415) 982-2020

595 Buckingham Way
Ste 448
San Francisco, CA 94132
Phone (415) 564-1060

490 Post St
Ste 640
San Francisco, CA 94102
Phone (415) 982-2020

4825 Torrance Blvd
Ste 100
Torrance, CA 90503
Phone (310) 937-6585

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1760741045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST ST",
            "address_2": "SUITE 640",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021401",
            "telephone_number": "415-982-2020",
            "fax_number": "415-982-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST ST",
            "address_2": "SUITE 640",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021401",
            "telephone_number": "415-982-2020",
            "fax_number": "415-982-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGANGE",
        "first_name": "NEGIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A136804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.