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Contact Information

HEADQUARTERS MEDICAL GROUP PA
2340 VAN NESS AVE APT 5
SAN FRANCISCO, CA94109-1848
 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

NPI Profile & details for HEADQUARTERS MEDICAL GROUP PA

NPI # 1326919655
LBN Legal business name HEADQUARTERS MEDICAL GROUP PA
Authorized official LUCAS JOHNSTON - (OPERATIONS ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/17/2025
Last updated 09/17/2025 - About 9 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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