Individual provider Active NPI

Tanya Lagrimas, MD, MPH

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1922446533
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A133746 Issued in CA
Practice address
995 Potrero Ave
BLDG 80, Ward 83
San Francisco, CA 94110-2859
Phone
(415) 206-8611
NPI assigned
Jun 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A133746 CA Primary

Addresses

Primary practice location

995 Potrero Ave
BLDG 80, Ward 83
San Francisco, CA 94110-2859

Mailing address

995 Potrero Ave
BLDG 80, Ward 83
San Francisco, CA 94110-2859

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
I20161004001613 CA Practitioner - Family Practice 1052609294 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133746CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Aug 14, 2016 Accepting new patients
Lifelong Medical Care CurrentSince Sep 2, 2018 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
City & County of San Francisco Current Accepting new patients
City & County of San Francisco CurrentSince Oct 19, 2019 Accepting new patients
City and County of San Francisco CurrentSince Oct 19, 2019 Accepting new patients
Lifelong Medical Care Family Medicine CurrentSince Sep 2, 2018 Accepting new patients
University of California SFGH Medical Group Family Medicine CurrentSince Aug 14, 2016 Accepting new patients

Locations

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

2001 Dwight Way
Rm 1363
Berkeley, CA 94704
Phone (510) 204-4637

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

995 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (415) 206-8611

1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610

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

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1922446533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 POTRERO AVE",
            "address_2": "BLDG 80, WARD 83",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 POTRERO AVE",
            "address_2": "BLDG 80, WARD 83",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102859",
            "telephone_number": "415-206-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGRIMAS",
        "first_name": "TANYA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A133746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.