Healthcare Provider Details

I. General information

NPI: 1639639461
Provider Name (Legal Business Name): DANIELLE NICOLE PEREZ SHARP MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE NICOLE PEREZ MD

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH ST FL HALL4
SAN FRANCISCO CA
94143-2549
US

IV. Provider business mailing address

453 QUARRY RD NEONATOLOGY MC 5660
PALO ALTO CA
94304-1419
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-5001
  • Fax:
Mailing address:
  • Phone: 650-723-5711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA176883
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA176883
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: