HEADQUARTERS MEDICAL GROUP WEST PC; NPI #1154289833

Contact Information

HEADQUARTERS MEDICAL GROUP WEST PC

1417 15TH ST
SAN FRANCISCO, CA 94103-3623

Phone: 415-763-5790
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	363LP2300X	50	Nurse Practitioner
Brain Injury Medicine	2084P0301X	86	Physician/Neuropsychiatry
Brain Injury Medicine	2081P0301X	25	Physician/Physical Medicine and Rehabilitation
Family Medicine - Sports Medicine	207QS0010X	08	Physician/Family Practice
Neurology	2084N0400X	13	Physician/Neurology
Physical Medicine & Rehabilitation	208100000X	25	Physician/Physical Medicine and Rehabilitation
Physical Therapist	225100000X	65	Physical Therapist in Private Practice
Sports Medicine	2080S0010X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for HEADQUARTERS MEDICAL GROUP WEST PC

NPI #	`1154289833`
LBN Legal business name	HEADQUARTERS MEDICAL GROUP WEST PC
Authorized official	LUCAS JOHNSTON - (OPERATIONS ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/12/2026
Last updated	01/12/2026 - About 5 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HEADQUARTERS MEDICAL GROUP WEST PC

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NPI Profile & details for HEADQUARTERS MEDICAL GROUP WEST PC

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