Individual provider Active NPI

Jerome A. Barakos, M.D.

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1972558922
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G63097 Issued in CA
Practice address
1101 Van Ness Ave FL 3
San Francisco, CA 94109-6919
Phone
(415) 600-3232
Fax
(415) 447-6335
NPI assigned
May 24, 2006
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G63097 CA Primary
Neuroradiology Physician 2085N0700X G63097 CA

Addresses

Primary practice location

1101 Van Ness Ave FL 3
San Francisco, CA 94109-6919

Mailing address

PO Box 6102
Novato, CA 94948-6102
Phone (415) 884-9125

Other practice location 1

3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone (415) 641-6545

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
I20060112000206 CA Practitioner - Diagnostic Radiology 3072536390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1101 Van Ness Ave
San Francisco, CA 94109-6975
Phone (415) 600-3232

899 Valencia St
San Francisco, CA 94110-1736
Phone (415) 600-6960

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63097CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
G63097CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
California Advanced Imaging Medical Associates Inc Neuroradiology CurrentSince Nov 1, 2013 Accepting new patients
California Pacific Advanced Imaging CurrentSince Jan 1, 2002 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1260 S Eliseo Dr
Ste 101
Greenbrae, CA 94904
Phone (415) 461-9033

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

500 Redwood Blvd
#300
Novato, CA 94947
Phone (415) 884-3418

504 Redwood Blvd
Ste 300
Novato, CA 94947
Phone (415) 884-3418

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

1101 Van Ness Ave
#3
San Francisco, CA 94109
Phone (415) 600-8751

1101 Van Ness Ave
Fl 3
San Francisco, CA 94109
Phone (415) 600-0800

1580 Valencia St
Ste 237
San Francisco, CA 94110
Phone (415) 641-6545

1700 California St
Ste 260
San Francisco, CA 94109
Phone (415) 653-5800

2333 Buchanan St
San Francisco, CA 94115
Phone (415) 563-4321

2351 Clay St
Ste 100
San Francisco, CA 94115
Phone (415) 600-3143

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

3700 California St
San Francisco, CA 94118
Phone (415) 719-0000

3700 California St
Ste G350
San Francisco, CA 94118
Phone (415) 600-2940

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

3838 California St
Rm 805
San Francisco, CA 94118
Phone (415) 600-0940

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695

55 2nd St
Fl Grnd
San Francisco, CA 94105
Phone (415) 600-6990

899 Valencia St
San Francisco, CA 94110
Phone (415) 600-6960

100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

Organizations & group practices 6

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 5

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1972558922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6102",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949486102",
            "telephone_number": "415-884-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VAN NESS AVE FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096919",
            "telephone_number": "415-600-3232",
            "fax_number": "415-447-6335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Cesar Chavez",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104403",
            "country_code": "US",
            "telephone_number": "415-641-6545",
            "fax_number": "415-865-4175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAKOS",
        "first_name": "JEROME",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G63097",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "G63097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.