Healthcare Provider Details

I. General information

NPI: 1902247422
Provider Name (Legal Business Name): CATHERINE BUCKLEY SAIKI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2013
Last Update Date: 03/17/2021
Certification Date: 03/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HAWTHORNE AVE RM 2346
OAKLAND CA
94609-3108
US

IV. Provider business mailing address

505 PARNASSUS AVE
SAN FRANCISCO CA
94143-2204
US

V. Phone/Fax

Practice location:
  • Phone: 510-869-6883
  • Fax:
Mailing address:
  • Phone: 510-869-6883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberNP95006964
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: