Healthcare Provider Details

I. General information

NPI: 1891481123
Provider Name (Legal Business Name): AMANDA FOOTE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 PARNASSUS AVE FL 7
SAN FRANCISCO CA
94143-2206
US

IV. Provider business mailing address

521 PARNASSUS AVE FL 7
SAN FRANCISCO CA
94143-2206
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-1529
  • Fax:
Mailing address:
  • Phone: 415-353-1529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA208777
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: