Individual provider Active NPI

Gloriely Dumaguing, NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1821679416
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95211420 Issued in CA
Practice address
302 Silver Ave
San Francisco, CA 94112-1510
Phone
(415) 334-2500
NPI assigned
Apr 15, 2021
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95211420 CA Primary

Addresses

Primary practice location

302 Silver Ave
San Francisco, CA 94112-1510

Mailing address

302 Silver Ave
San Francisco, CA 94112-1510
Phone (415) 334-2500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220106001911 CA Practitioner - Nurse Practitioner 0446641187 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Post-Acute Medical Group 1 IncGroup PAC ID 5991072738, 4 clinicians

Practice addresses (Care Compare)

302 Silver Ave
San Francisco, CA 94112-1510
Phone (415) 334-2500

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
83.33
Improvement activities
40
Cost
92.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95211420CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Post-Acute Medical Group 1, Inc. CurrentSince Jan 1, 2022 Accepting new patients
CS Pacs 3 Ca Medical Group Inc Nurse Practitioner CurrentSince Feb 1, 2025 Accepting new patients
CS Pacs 3 West LLC CurrentSince Sep 9, 2024 Accepting new patients
Ca Pacs 2 Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients

Locations

21863 Vallejo St
Cherryland, CA 94541
Phone (510) 481-3200

1855 Miramonte Ave
Mountain View, CA 94040
Phone (650) 961-6484

302 Silver Ave
San Francisco, CA 94112
Phone (415) 334-2500

2295 Plummer Ave
San Jose, CA 95125
Phone (408) 269-0701

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

2620 Flores St
San Mateo, CA 94403
Phone (650) 349-2161

45 Professional Center Pkwy
San Rafael, CA 94903
Phone (415) 479-3610

1115 Capitola Rd
Santa Cruz, CA 95062
Phone (831) 475-4055

20400 Saratoga Los Gatos Rd
#R
Saratoga, CA 95070
Phone (408) 741-2950

1002 W Fremont Ave
Sunnyvale, CA 94087
Phone (408) 739-2383

2200 Tuolumne St
Vallejo, CA 94589
Phone (707) 644-7401

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1821679416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SILVER AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121510",
            "telephone_number": "415-334-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SILVER AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121510",
            "telephone_number": "415-334-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAGUING",
        "first_name": "GLORIELY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95211420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.