NPIMap

Individual provider Active NPI

Bryan Peter Fregoso, MD

  • Emergency Medicine Physician
  • San Francisco, CA
National Provider Identifier
1881213510
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A186833 Issued in CA
Practice address
1001 Potrero Ave BLDG 25
San Francisco, CA 94110-3518
Phone
(628) 206-8000
NPI assigned
Apr 13, 2020
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X A186833 CA Primary

Addresses

Primary practice location

1001 Potrero Ave BLDG 25
San Francisco, CA 94110-3518

Mailing address

406.5 Linwood Ave
Apt B
Buffalo, NY 14209

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
I20230807003340 CA Practitioner - Emergency Medicine 2062824147 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (628) 206-5753

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A186833CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Aug 1, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 25, 2024 Accepting new patients
University of California SFGH Medical Group Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 25, 2024 Accepting new patients
City and County of San Francisco CurrentSince Oct 7, 2023 Accepting new patients
City & County of San Francisco CurrentSince Oct 7, 2023 Accepting new patients
University of California San Francisco CurrentSince Jul 25, 2024 Accepting new patients
University of California San Francisco CurrentSince Jul 25, 2024 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

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

1001 Potrero Ave
Bldg 25
San Francisco, CA 94110
Phone (628) 206-8000

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

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

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

520 Illinois St
San Francisco, CA 94143
Phone (415) 353-9188

Interoperability endpoints

  • Direct secure messaging: bfregoso371572@direct-ucsfmedicalcenter.org

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 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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1881213510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406.5 LINWOOD AVE",
            "address_2": "APT B",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE BLDG 25",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREGOSO",
        "first_name": "BRYAN",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A186833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.