Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Headquarters Medical Group PA

Organization Sports Medicine (Family Medicine) Physician · NPI 1326919655

Headquarters Medical Group PA is a Sports Medicine (Family Medicine) Physician in San Francisco, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
8
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2340 Van Ness Ave Apt 5
San Francisco, CA 94109-1848
Phone: (415) 763-5790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Pediatric Sports Medicine Physician Taxonomy 2080S0010X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P0301X
Neurology Physician Taxonomy 2084N0400X
Brain Injury Medicine (Psychiatry & Neurology) Physician Taxonomy 2084P0301X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1326919655
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucas Johnston — Operations Administrator · (973) 270-3396
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address2340 Van Ness Ave Apt 5, San Francisco, CA 94109-1848

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