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

Headquarters Medical Group West PC

Organization Sports Medicine (Family Medicine) Physician · NPI 1154289833

Headquarters Medical Group West PC provides Sports Medicine (Family Medicine) Physician services in San Francisco, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
8
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1417 15th St
San Francisco, CA 94103-3623
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 number1154289833
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucas Johnston — Operations Administrator · (415) 763-5790
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address1417 15th St, San Francisco, CA 94103-3623

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