| St. Mary's Department Of Medicine Medical Group | |
|
450 Stanyan St San Francisco CA 94117-1079 | |
| (415) 668-1000 | |
| (415) 750-5899 |
| Full Name | St. Mary's Department Of Medicine Medical Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 450 Stanyan St, San Francisco, California |
| Authorized Official Name and Position | Eric Brettner (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4157505726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary's Department Of Medicine Medical Group 2235 Hayes St 5th Floor San Francisco CA 94117-1012 Ph: (415) 750-5500 | St. Mary's Department Of Medicine Medical Group 450 Stanyan St San Francisco CA 94117-1079 Ph: (415) 668-1000 |
| NPI Number | 1629291745 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 09/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629291745 | NPI | - | NPPES |
| ZZZ05047Z | Other | BLUE SHIELD OF CA | |
| GR0050760 | Medicaid | CA | |
| 721561126 | Other | IRS - SP TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 220000071 (California) | Primary |
Richard Joseph Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 548 Market St # 50727, San Francisco, CA 94104 Phone: 415-851-3224 | |
James Y.greenberg, Md, A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2299 Post St Ste 205, San Francisco, CA 94115 Phone: 415-474-7955 Fax: 415-292-0718 | |
Inpatient Services Of California, Inc., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3555 Cesar Chavez St, San Francisco, CA 94110 Phone: 415-641-6401 | |
Jew & Jew Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Clay St, San Francisco, CA 94108 Phone: 415-982-4011 Fax: 415-982-6291 | |
Hampton Health Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 California St, Ste. 470, San Francisco, CA 94109 Phone: 415-202-9990 Fax: 415-843-0548 | |
North East Medical Services-leland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 Leland Avenue, San Francisco, CA 94134 Phone: 415-391-9686 Fax: 415-333-9067 | |
Mission Area Health Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1580 Valencia St Ste 506, San Francisco, CA 94110 Phone: 415-852-4080 Fax: 415-431-3178 |