Nisa S. Atigapramoj, M.D.
Individual provider Active NPI Pediatrics Physician · San Diego, CA
NPI 1982993069 · NPPES record last updated Mar 29, 2011
Key facts
- NPI
- 1982993069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- A108312 (CA)
- Practice address
- 3020 Childrens Way
San Diego, CA 92123-4223 - Phone
- (858) 966-8800
- Fax
- (858) 966-7433
- NPI assigned
- Mar 29, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.89 of 100
- Quality
- 81.13
- Improvement activities
- 40
- Cost
- 71.5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150608000264 | CA | Practitioner - Emergency Medicine | 1355662073 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A108312 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current |
Accepting new patients | |
| University of California San Francisco | Pediatrics | Current |
Accepting new patients |
| University of California SFGH Medical Group | Current |
Accepting new patients | |
| University of California SFGH Medical Group | Current |
Accepting new patients | |
| UCSF Pediatrics Associates | Pediatrics | Current |
Accepting new patients |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current |
Accepting new patients | |
| University of California San Francisco | Pediatrics | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current |
Accepting new patients | |
| UCSF Health Medical Foundation | Past | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients |
Locations
747 52nd St
Oakland, CA 94609
Phone (510) 428-3070
505 Parnassus Ave
Ste M160
San Francisco, CA 94143
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753
1975 4th St
Fl 5
San Francisco, CA 94143
Phone (877) 822-4453
505 Parnassus Ave
#M160
San Francisco, CA 94143
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
1975 4th St
Fl 1
San Francisco, CA 94143
Phone (303) 918-4827
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
Interoperability endpoints
- natigapramoj59058@direct-ucsfmedicalcenter.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A108312 | CA | Yes |
| 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
Other providers in San Diego, CA
- Charles A Athill
- Rylee Athwani
- Kathleen-Ann Laxamana Atienza
- Princess Eliz Segala Atienza
- Sharon Atienza
- Ronald Mar Tenorio Atillo
- Fadi Atiya
- Sawsan Ismail Atiya
- Alexander Atkin
- Colin Atkins
All providers in San Diego, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.