Healthcare Provider Details

I. General information

NPI: 1255017737
Provider Name (Legal Business Name): GET AGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 08/24/2024
Certification Date: 08/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1753 CARROLL AVE
SAN FRANCISCO CA
94124-2647
US

IV. Provider business mailing address

1753 CARROLL AVE
SAN FRANCISCO CA
94124-2647
US

V. Phone/Fax

Practice location:
  • Phone: 415-712-0501
  • Fax: 415-712-1431
Mailing address:
  • Phone: 157-120-5014
  • Fax: 415-712-1431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CARLA PERISSINOTTO
Title or Position: OWNER/CHIEF MEDICAL OFFICER
Credential: MD MHS
Phone: 415-712-0501