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STONESTOWN PEDIATRICS NPI 1154486421


NPI Information

NPI: 1154486421
Provider Name: STONESTOWN PEDIATRICS

Former Legal Business Name: STONESTOWN PEDIATRIC MEDICAL OFFICE

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
595 BUCKINGHAM WAY
#355
SAN FRANCISCO, CA
ZIP 94132
Phone: (415) 566-2727
Get Directions

STONESTOWN PEDIATRICS is a pediatrics in San Francisco, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. STONESTOWN PEDIATRICS NPI is 1154486421. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Stonestown Pediatric Medical Office.

The provider's business location address is:

595 BUCKINGHAM WAY
#355
SAN FRANCISCO, CA
ZIP 94132-909
Phone: (415) 566-2727
Fax: (415) 566-0081

The provider's authorized official is Mitchell C Sollod .
The authorized official title is Secretary and has the following contact phone number (415) 566-2727.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 1/16/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergyC27394CALIFORNIANo
2208000000XPediatricsFNP30374CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1YYY20778YMEDICAIDCALIFORNIA

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: 4/28/2024

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