Healthcare Provider Details

I. General information

NPI: 1861308520
Provider Name (Legal Business Name): THIAGO JUNQUEIRA AVELINO DA SILVA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: THIAGO SILVA

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

490 ILLINOIS ST FL 8
SAN FRANCISCO CA
94143-2510
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-0605
  • Fax:
Mailing address:
  • Phone: 415-476-0234
  • Fax: 415-514-8192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberSFP60
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberSFP60
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: