GREGORY MANDRUSSOW MD
NPI 1528146156
Emergency Medicine in San Francisco, CA

Active since November 01, 2006
2200 OFARRELL ST, SAN FRANCISCO, CA 94115(415) 833-2000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory Mandrussow Md NPPES

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

GREGORY MANDRUSSOW MD (NPI 1528146156) is an individual emergency medicine provider in San Francisco, California, licensed in California (G57394) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1528146156
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGREGORY MANDRUSSOWCredential: MD
Location Address2200 OFARRELL STSan Francisco, CA 94115-3357
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1528146156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · G57394
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2200 OFARRELL ST, San Francisco, CA 94115

Other Identifiers 3

Medicare UPINF15086
Medicare ID-Type Unspecified00G573940
Medicaid00G573940CA

Other Providers at the Same Location NPPES 20

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

Pediatrics
2200 OFARRELL ST
SAN FRANCISCO, CA 94115
Nuclear Medicine
2200 OFARRELL ST
SAN FRANCISCO, CA 94115
Pediatrics
2200 OFARRELL ST
SAN FRANCISCO, CA 94115
Radiology (Diagnostic Radiology)
2200 OFARRELL ST
SAN FRANCISCO, CA 94115
Internal Medicine
2200 OFARRELL ST
SAN FRANCISCO, CA 94115
Hospitalist
2200 OFARRELL ST
SAN FRANCISCO, CA 94115
Internal Medicine (Critical Care Medicine)
2200 OFARRELL ST
SAN FRANCISCO, CA 94115
Otolaryngology
2200 OFARRELL ST
SAN FRANCISCO, CA 94115

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 Gregory Mandrussow's NPI number?

The NPI number for Gregory Mandrussow is 1528146156. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Gregory Mandrussow located?

Gregory Mandrussow practices at 2200 Ofarrell St, San Francisco, CA 94115. The listed phone number is (415) 833-2000.

What is Gregory Mandrussow's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Gregory Mandrussow was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.