Active NPI
Pacific Gynecology Surgical Group Inc
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Legal business name
- PACIFIC GYNECOLOGY SURGICAL GROUP INC
- Practice address
- 2100 Webster St Ste 518
San Francisco, CA 94115-2382 - Phone
- (415) 426-7859
- Fax
- (415) 426-7805
- NPI assigned
- Nov 4, 2015
- Last updated
- Dec 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Kardos
- Title
- Owner
- Phone
- (415) 426-7859
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | NU | Primary |
Addresses
Primary practice location
2100 Webster St Ste 518
San Francisco, CA 94115-2382
Mailing address
2100 Webster St Ste 518
San Francisco, CA 94115-2382
Phone (415) 426-7859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2108301 | Pacific Gynecology Surgical Group | Provider-performed microscopy | Feb 1, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Obstetrics & Gynecology Physician
- San Francisco, CA
- NPI 1831187046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448928000000",
"number": "1861865479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 WEBSTER ST STE 518",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152382",
"telephone_number": "415-426-7859",
"fax_number": "415-426-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WEBSTER ST STE 518",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152382",
"telephone_number": "415-426-7859",
"fax_number": "415-426-7805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC GYNECOLOGY SURGICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-04",
"last_updated": "2015-12-01",
"status": "A",
"authorized_official_last_name": "KARDOS",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "415-426-7859"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
- Pacific Ear Nose and Throat Associates Inc
- Pacific Eye Associates, a Medical Corporation
- Pacific Family Practice Medical Group a Professional Corporation
- Pacific Forensic Psychology Associates (Sharper Future)
- Pacific Gynecology & Obstetrics Medical Group Inc
- Pacific Heights Medical Group
- Pacific Heights Medical Group
- Pacific Heights Surgery Center of San Francisco LP
- Pacific Heights Surgery Center of San Francisco, LP
- Pacific Hematology Oncology Assoc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.