Healthcare Provider Details

I. General information

NPI: 1790578466
Provider Name (Legal Business Name): DOCTRONIC PHYSICIANS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2948 16TH ST STE 200-6
SAN FRANCISCO CA
94103-3613
US

IV. Provider business mailing address

6742 FOREST HILL BLVD # 283
GREENACRES FL
33413-3321
US

V. Phone/Fax

Practice location:
  • Phone: 415-340-2274
  • Fax:
Mailing address:
  • Phone: 415-340-2274
  • Fax: 415-621-9221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOLE GUETHLER
Title or Position: PRACTICE MANAGER
Credential:
Phone: 415-340-2274