Active NPI
Victoria Leslie Agnost, M.D.
- Pediatrics Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G071056
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G071056 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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
- vagnost130902@direct-ucsfmedicalcenter.org
- 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.
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1457427411
CA
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.