Healthcare Provider Details

I. General information

NPI: 1548304678
Provider Name (Legal Business Name): CALIFORNIA PACIFIC MEDICAL CENTER PHYSICIANS' FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 CALIFORNIA ST #200
SAN FRANCISCO CA
94115-2753
US

IV. Provider business mailing address

2300 CALIFORNIA ST #200
SAN FRANCISCO CA
94115-2753
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-3503
  • Fax: 415-600-1327
Mailing address:
  • Phone: 415-600-3503
  • Fax: 415-600-1327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberG38386
License Number StateCA

VIII. Authorized Official

Name: ANABEL IMBERT
Title or Position: CHIEF MEDICAL OFFICER, CPMC PF
Credential: M.D.
Phone: 415-600-4256