Healthcare Provider Details

I. General information

NPI: 1902970031
Provider Name (Legal Business Name): REBECCA DENISE ALARCON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA DENISE TRAFECANTY FNP

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 SUTTER ST 6TH FLOOR
SAN FRANCISCO CA
94104-4002
US

IV. Provider business mailing address

110 SUTTER ST 6TH FLOOR
SAN FRANCISCO CA
94104-4002
US

V. Phone/Fax

Practice location:
  • Phone: 415-291-0480
  • Fax: 415-252-7176
Mailing address:
  • Phone: 415-291-0480
  • Fax: 415-291-0489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number21149
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: