SUJAN GAUTAM NP NPI 1790499630

NPI Information

  • NPI: 1790499630
  • Provider Name: SUJAN GAUTAM, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 900 FOLSOM ST APT 414
    SAN FRANCISCO, CA
    ZIP 94107
  • Phone: (318) 243-5254

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NPI Details

Sujan Gautam, NP is a family nurse practitioner in San Francisco, CA. Sujan Gautam, NP NPI is 1790499630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 FOLSOM ST APT 414
SAN FRANCISCO, CA
ZIP 94107-170
Phone: (318) 243-5254

The enumeration date for this NPI number is 1/5/2023 and was last updated on 1/5/2023.

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
1363LF0000XNurse PractitionerFamily95023796CALIFORNIAYes

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: 11/21/2025

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