MEDICARE: SAN FRANCISCO FIRE DEPARTMENT

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	146L00000X	Paramedic	P06428	CA

General Provider Information

NPI Number	:	1396748919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN FRANCISCO FIRE DEPARTMENT

Provider Business Mailing Address
First Line	:	698 2ND ST
Second Line	:	# 313
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-2015
Country	:	US
Telephone Number	:	415-558-3646
Fax Number	:	415-558-3650

Provider Business Practice Location Address
First Line	:	698 2ND ST
Second Line	:	# 313
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-2015
Country	:	US
Telephone Number	:	415-558-3646
Fax Number	:	415-558-3650

Authorized Official
Title or Position	:	CAPTAIN
Name	:	MR. ANDREW GERALD ZANOFF
Credential	:	NREMT-P
Telephone Number	:	415-558-3646

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	08/22/2020

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Directions to “SAN FRANCISCO FIRE DEPARTMENT ” Practice Location

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