Healthcare Provider Details

I. General information

NPI: 1013233766
Provider Name (Legal Business Name): ARIS HAN OATES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2010
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UC SAN FRANCISCO 505 PARNASSUS - PEDIATRICS RESIDENCY PROGRAM
SAN FRANCISCO CA
94143-0001
US

IV. Provider business mailing address

UC SAN FRANCISCO 505 PARNASSUS - PEDIATRICS RESIDENCY PROGRAM
SAN FRANCISCO CA
94143-0001
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-6245
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA120363
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License NumberA120363
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: