Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
HEADQUARTERS MEDICAL GROUP WEST PC
Active
Organization
HEADQUARTERS MEDICAL GROUP WEST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS JOHNSTON (OPERATIONS ADMINISTRATOR)
(415) 763-5790
Entity
Organization
Contact information
Practice address
1417 15TH ST, SAN FRANCISCO, CA 94103-3623
(415) 763-5790
Mailing address
1417 15TH ST, SAN FRANCISCO, CA 94103-3623
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
NULL
2080S0010X
Pediatric Sports Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
—
NULL
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
01/12/2026
Last updated
09/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers