MR. IVAN JESUS PALACIOS PA- C
NPI 1790310449
Physician Assistant - Surgical in San Francisco, CA
About Mr. Ivan Jesus Palacios Pa- C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. IVAN JESUS PALACIOS PA- C (NPI 1790310449) is an individual surgical provider in San Francisco, California, licensed in California (PA66810) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Ivan Jesus Palacios Pa- C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Ivan Palacios's NPI number?
The NPI number for Ivan Palacios is 1790310449. It was assigned to this individual provider in the NPPES registry on March 3, 2020.
Where is Ivan Palacios located?
Ivan Palacios practices at 1975 4th St, San Francisco, CA 94143. The listed phone number is (415) 476-3501.
What is Ivan Palacios's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Ivan Palacios enrolled in Medicare?
Yes. Ivan Palacios is registered in the Medicare PECOS enrollment system.
What insurance does Ivan Palacios accept?
Health plans from Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Ivan Palacios as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ivan Palacios was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Ivan Jesus Palacios, PA- C · NPI 1790310449
Surgical physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since March 3, 2020.
## Identity
- **NPI:** 1790310449 (Entity type: Individual)
- **Enumerated:** March 3, 2020
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA66810 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1975 4TH ST, San Francisco, CA 94143-2351
- **Phone:** (415) 476-3501
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790310449) · Data from the CMS NPPES public registry.