Healthcare Provider Details

I. General information

NPI: 1235103813
Provider Name (Legal Business Name): ANTHONY S PADULA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 SUTTER ST RM 840
SAN FRANCISCO CA
94108-3915
US

IV. Provider business mailing address

450 SUTTER ST RM 840
SAN FRANCISCO CA
94108-3915
US

V. Phone/Fax

Practice location:
  • Phone: 415-963-4431
  • Fax: 415-963-4432
Mailing address:
  • Phone: 415-963-4431
  • Fax: 415-963-4432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA83508
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License NumberA83508
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA83508
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: