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 provides Sports Medicine (Family Medicine) Physician services 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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