FAIRVIEW HOSPITAL NPI 1407989759

NPI Information

NPI: 1407989759
Provider Name: FAIRVIEW HOSPITAL
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 36D2055885

Address:
901 CAMPUS DR
SUITE 210
DALY CITY, CA
ZIP 94015
Phone: (650) 994-3000
Get Directions

FAIRVIEW HOSPITAL is a primary care clinic center in Daly City, CA. FAIRVIEW HOSPITAL NPI is 1407989759. The provider is registered as an organization entity type.

The provider's business location address is:

901 CAMPUS DR
SUITE 210
DALY CITY, CA
ZIP 94015-900
Phone: (650) 994-3000
Fax: (650) 994-3004

The provider's authorized official is Merlita Borja Evangelista .
The authorized official title is Pediatrician and has the following contact phone number (440) 779-1615.

The CLIA number assigned to this NPI record is 36D2055885 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	33899	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »