Individual provider Active NPI

Victoria Leslie Agnost, M.D.

  • Pediatrics Physician
  • Walnut Creek, CA
National Provider Identifier
1972630804
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G071056 Issued in CA
Practice address
1450 Treat Blvd # 160
Walnut Creek, CA 94597-2168
Phone
(925) 296-9000
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G071056 CA Primary

Addresses

Primary practice location

1450 Treat Blvd # 160
Walnut Creek, CA 94597-2168

Mailing address

1450 Treat Blvd # 160
Walnut Creek, CA 94597-2168
Phone (925) 952-2888

Other practice location 1

3505 Lone Tree Way
Antioch, CA 94509-6067
Phone (925) 427-8775

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
I20090320000252 CA Practitioner - Pediatric Medicine 8224195144 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G071056CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Area Health Associates Current Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients

Locations

1580 Valencia St
Ste 506
San Francisco, CA 94110
Phone (415) 641-6500

1580 Valencia St
Ste 702
San Francisco, CA 94110
Phone (415) 852-4080

240 Shotwell St
San Francisco, CA 94110
Phone (415) 552-1013

Interoperability endpoints

  • Direct secure messaging: vagnost130902@direct-ucsfmedicalcenter.org
  • Direct secure messaging: vagnost123317@ehr.johnmuirhealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1972630804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 160",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 160",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-296-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 Lone Tree Way",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096067",
            "country_code": "US",
            "telephone_number": "925-427-8775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGNOST",
        "first_name": "VICTORIA",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G071056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.