Individual provider Active NPI

Nisa S. Atigapramoj, M.D.

  • Pediatrics Physician
  • San Diego, CA
National Provider Identifier
1982993069
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A108312 Issued in CA
Practice address
3020 Childrens Way
San Diego, CA 92123-4223
Phone
(858) 966-8800
Fax
(858) 966-7433
NPI assigned
Mar 29, 2011
Last updated
Mar 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A108312 CA Primary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X A108312 CA

Addresses

Primary practice location

3020 Childrens Way
San Diego, CA 92123-4223

Mailing address

3860 Calle Fortunada
Ste 210
San Diego, CA 92123-4800
Phone (858) 309-6303

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
I20150608000264 CA Practitioner - Emergency Medicine 1355662073 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108312CAMDSchool Social Worker
A108312CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Dec 15, 2015 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Mar 16, 2015 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 16, 2015 Accepting new patients
University of California SFGH Medical Group CurrentSince Dec 15, 2015 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jun 30, 2013 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 16, 2015 Accepting new patients
University of California San Francisco CurrentSince Mar 16, 2015 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
UCSF Health Medical Foundation Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

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

1975 4th St
Fl 1
San Francisco, CA 94143
Phone (303) 918-4827

1975 4th St
Fl 5
San Francisco, CA 94143
Phone (877) 822-4453

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

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

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

505 Parnassus Ave
#M160
San Francisco, CA 94143

505 Parnassus Ave
Ste M160
San Francisco, CA 94143

Interoperability endpoints

  • Direct secure messaging: natigapramoj59058@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.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1982993069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 CALLE FORTUNADA",
            "address_2": "STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234800",
            "telephone_number": "858-309-6303",
            "fax_number": "858-309-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-8800",
            "fax_number": "858-966-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIGAPRAMOJ",
        "first_name": "NISA",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A108312",
            "primary": true
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "CA",
            "license": "A108312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.