1447409370 NPI number — VASCULAR ASSOCIATES OF SAN FRANCISCO

Table of content: (NPI 1447409370)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447409370 NPI number — VASCULAR ASSOCIATES OF SAN FRANCISCO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VASCULAR ASSOCIATES OF SAN FRANCISCO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1447409370
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/16/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ONE SHRADER ST
Provider Second Line Business Mailing Address:
SUITE 600
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94117-1018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-831-4208
Provider Business Mailing Address Fax Number:
415-831-4625

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ONE SHRADER ST
Provider Second Line Business Practice Location Address:
SUITE 600
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94117-1018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-831-4208
Provider Business Practice Location Address Fax Number:
415-831-4625
Provider Enumeration Date:
09/16/2008

Additional Information

Authorized Official

Authorized Official Last Name:
DITO
Authorized Official First Name:
MARY
Authorized Official Middle Name:
ANNE
Authorized Official Title or Position:
BILLING SERVICE OWNER
Authorized Official Telephone Number:
415-759-1374

Provider Taxonomy Codes

  • Taxonomy code: 2086S0129X , with the licence number:  A82191 , 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)





Copyright © 2007-2024 www.npivalidator.com