MEDICARE: GOLDEN GATE MEDICAL GROUP

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	207Q00000X	Family Medicine Physician	00G610840	CA
2	207Q00000X	Family Medicine Physician	00G551130	CA
3	207R00000X	Internal Medicine Physician	00G380390	CA
4	208D00000X	General Practice Physician	00A111410	CA

General Provider Information

NPI Number	:	1356323463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN GATE MEDICAL GROUP

Provider Business Mailing Address
First Line	:	3620 CESAR CHAVEZ
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4315
Country	:	US
Telephone Number	:	415-826-7575
Fax Number	:	415-826-3014

Provider Business Practice Location Address
First Line	:	3620 CESAR CHAVEZ
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4315
Country	:	US
Telephone Number	:	415-826-7575
Fax Number	:	415-826-3014

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. JEROME ALVIN FRANZ
Credential	:	MD
Telephone Number	:	415-826-7575

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	09/11/2025

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