1134451925 NPI number — CALIFORNIA PACIFIC ORTHOPAEDICS & SPORTS MEDICINE

Table of content: MRS. MARIE ANN SWEENEY APRN (NPI 1407866304)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134451925 NPI number — CALIFORNIA PACIFIC ORTHOPAEDICS & SPORTS MEDICINE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CALIFORNIA PACIFIC ORTHOPAEDICS & SPORTS MEDICINE
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:
1134451925
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/15/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3838 CALIFORNIA ST
Provider Second Line Business Mailing Address:
SUITE 715
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94118-1522
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-592-2014
Provider Business Mailing Address Fax Number:
415-592-0092

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2100 WEBSTER ST
Provider Second Line Business Practice Location Address:
SUITE 109
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94115-2373
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-592-2014
Provider Business Practice Location Address Fax Number:
415-592-0092
Provider Enumeration Date:
02/04/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SOTO
Authorized Official First Name:
JULIE
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
415-592-2014

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: YYY48586Y . This is a "MEDICARE GROUP PROVIDER NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com