NPIMap

Individual provider Active NPI

Roger S Eng, MD

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1871607291
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G75471 Issued in CA
Practice address
845 Jackson St
San Francisco, CA 94133-4851
Phone
(415) 677-2320
Fax
(770) 666-9102
NPI assigned
Aug 19, 2006
Last updated
May 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G75471 CA Primary

Addresses

Primary practice location

845 Jackson St
San Francisco, CA 94133-4851

Mailing address

PO Box 26750
Fresno, CA 93729-6750
Phone (559) 455-4053

Other identifiers 1

IdentifierTypeStateIssuer
00G754710MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070530000397 CA Practitioner - Diagnostic Radiology 8224136114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

386 Gellert Blvd
Daly City, CA 94015-2611
Phone (415) 677-2320

845 Jackson St
San Francisco, CA 94133-4851
Phone (415) 677-2320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G75471CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Gate Radiology Medical Group, Inc. Diagnostic Radiology Current Accepting new patients
Golden Gate Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Apr 1, 2007 Accepting new patients

Locations

386 Gellert Blvd
Daly City, CA 94015
Phone (415) 677-2320

845 Jackson St
San Francisco, CA 94133
Phone (415) 677-2300

Interoperability endpoints

  • Direct secure messaging: roger.eng@26182383370244.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Chinese HospitalSan Francisco, CA, CCN 050407 Hospital Corporate Director Jan 28, 2021
Chinese Hospital D/P SNFSan Francisco, CA, CCN 555933 Skilled nursing facility Corporate Director Jan 28, 2021

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 2

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 4

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1871607291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26750",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937296750",
            "telephone_number": "559-455-4053",
            "fax_number": "770-666-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 JACKSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334851",
            "telephone_number": "415-677-2320",
            "fax_number": "770-666-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "ROGER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G75471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G754710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.