HEADQUARTERS MEDICAL GROUP WEST PC
NPI 1154289833
Nurse Practitioner - Primary Care in San Francisco, CA

Active since January 12, 2026
1417 15TH ST, SAN FRANCISCO, CA 94103(415) 763-5790 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Headquarters Medical Group West Pc NPPES

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

HEADQUARTERS MEDICAL GROUP WEST PC (NPI 1154289833) is a healthcare organization registered as a primary care in San Francisco, California and active in the NPI registry since January 2026. The organization lists Lucas Johnston, Operations Administrator, as its authorized official.

NPPES Registry Identity

NPI1154289833
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameHEADQUARTERS MEDICAL GROUP WEST PC
Location Address1417 15TH STSan Francisco, CA 94103-3623
Mailing Address1417 15th StSan Francisco, CA 94103-3623
Organization SubpartNo
Authorized OfficialLucas JohnstonOperations Administrator · (415) 763-5790
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
NPI 1154289833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
Also ListedPediatrics · Sports MedicineTaxonomy 2080S0010X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPhysical TherapistTaxonomy 225100000X
1417 15TH ST, San Francisco, CA 94103

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Headquarters Medical Group West PC's NPI number?

The NPI number for Headquarters Medical Group West PC is 1154289833. It was assigned to this organization in the NPPES registry on January 12, 2026.

Where is Headquarters Medical Group West PC located?

Headquarters Medical Group West PC is located at 1417 15th St, San Francisco, CA 94103. The listed phone number is (415) 763-5790.

What is Headquarters Medical Group West PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Headquarters Medical Group West PC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.