Healthcare Provider Details

I. General information

NPI: 1063867638
Provider Name (Legal Business Name): ERGIT PAPARISTO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 PARNASSUS AVE FL 4
SAN FRANCISCO CA
94143-2206
US

IV. Provider business mailing address

340 S ST ANDREWS PL APT 315
LOS ANGELES CA
90020-4346
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-7952
  • Fax:
Mailing address:
  • Phone: 213-239-3134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA144249
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: