1396087961 NPI number — DR. CLAIRE CLELLAND MD, PHD

Table of content: DR. CLAIRE CLELLAND MD, PHD (NPI 1396087961)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396087961 NPI number — DR. CLAIRE CLELLAND MD, PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CLELLAND
Provider First Name:
CLAIRE
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396087961
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/19/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UCSF NEUROLOGY DEPARTMENT
Provider Second Line Business Mailing Address:
505 PARNASSUS AVENUE, BOX 0114
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94143-0114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-476-1489
Provider Business Mailing Address Fax Number:
415-476-3428

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UCSF NEUROLOGY DEPARTMENT
Provider Second Line Business Practice Location Address:
505 PARNASSUS AVENUE, BOX 0114
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-0114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-476-1489
Provider Business Practice Location Address Fax Number:
415-476-3428
Provider Enumeration Date:
03/21/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0400X , with the licence number: A134614 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)