MEDICARE: DR. JAMES ROBERT MACHO M.D.

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	208600000X	Surgery Physician	G46469	CA

General Provider Information

NPI Number	:	1326126863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ROBERT MACHO M.D.

Provider Business Mailing Address
First Line	:	2107 OFARRELL ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3419
Country	:	US
Telephone Number	:	415-775-2795
Fax Number	:	415-829-7632

Provider Business Practice Location Address
First Line	:	2107 OFARRELL ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3419
Country	:	US
Telephone Number	:	415-775-2795
Fax Number	:	415-829-7632

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	09/18/2019

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