MEDICARE: GET AGING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1255017737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GET AGING

Provider Business Mailing Address
First Line	:	1753 CARROLL AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94124-2647
Country	:	US
Telephone Number	:	157-120-5014
Fax Number	:	415-712-1431

Provider Business Practice Location Address
First Line	:	1753 CARROLL AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94124-2647
Country	:	US
Telephone Number	:	415-712-0501
Fax Number	:	415-712-1431

Authorized Official
Title or Position	:	OWNER/CHIEF MEDICAL OFFICER
Name	:	DR. CARLA PERISSINOTTO
Credential	:	MD MHS
Telephone Number	:	415-712-0501

Provider Enumeration Date	:	06/27/2023
Last Update Date	:	08/24/2024

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Directions to “GET AGING ” Practice Location

Language	Start Address	Practice Location

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