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DR. ALICIA LYGIA CALLEJO-BLACK MD
NPI 1083291934
Pediatrics in San Francisco, CA

Active since March 26, 2021PECOS Enrolled
2330 POST ST STE 320, SAN FRANCISCO, CA 94115(415) 885-7478 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2024, Mar 29, 2021, Mar 26, 2021 (3 updates tracked since 2021).

About Dr. Alicia Lygia Callejo-black Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALICIA LYGIA CALLEJO-BLACK MD (NPI 1083291934) is an individual pediatrics provider in San Francisco, California, licensed in California (197670) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083291934
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ALICIA LYGIA CALLEJO-BLACKCredential: MD
Location Address2330 POST ST STE 320San Francisco, CA 94115-3466
Mailing Address550 16th St Fl 4San Francisco, CA 94143-2549 · (415) 476-9181
Phone(415) 885-7478
Sole ProprietorNo
Enumeration DateMarch 26, 2021
Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1083291934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 197670
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2330 POST ST STE 320, San Francisco, CA 94115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alicia Lygia Callejo-black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Alicia Callejo-black reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of California San Francisco
1.7 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
1.7 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808
Ucsf Pediatrics Associates
1.8 mi
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
NPI 1376614016 (415) 353-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALINA WOOLFORD
Social Worker (Clinical)
2330 POST ST STE 320
SAN FRANCISCO, CA 94115
San Francisco County (415) 885-3761
JANENE MIN-MEI KUAN MD
Pediatrics
2330 POST ST STE 320
SAN FRANCISCO, CA 94115
San Francisco County (415) 885-7478
ABIGAIL ROSE OLSON ARONS MD
Pediatrics
2330 POST ST STE 320
SAN FRANCISCO, CA 94115
San Francisco County (415) 885-7478
MR. STEVEN MATTHEW BAISCH
Social Worker (Clinical)
2330 POST ST STE 320
SAN FRANCISCO, CA 94115
San Francisco County (415) 353-2364
SUSANNA KAVITA JAIN MD
Pediatrics
2330 POST ST STE 320
SAN FRANCISCO, CA 94115
San Francisco County (415) 885-7478
NANAH SUK PARK MD
Pediatrics
2330 POST ST STE 320
SAN FRANCISCO, CA 94115
San Francisco County (415) 885-7478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Callejo-black's NPI number?

The NPI number for Alicia Callejo-black is 1083291934. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Alicia Callejo-black located?

Alicia Callejo-black practices at 2330 Post St Ste 320, San Francisco, CA 94115. The listed phone number is (415) 885-7478.

What is Alicia Callejo-black's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alicia Callejo-black enrolled in Medicare?

Yes. Alicia Callejo-black is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alicia Callejo-black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Callejo-black reassigns Medicare benefits to 3 organizations: University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA) and Ucsf Pediatrics Associates (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicia Callejo-black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alicia Callejo-black was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.