Healthcare Provider Details

I. General information

NPI: 1023944519
Provider Name (Legal Business Name): KAITLIN OMA SIZEMORE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 29TH ST UNIT 2
SAN FRANCISCO CA
94110-4902
US

IV. Provider business mailing address

166 29TH ST APT 2
SAN FRANCISCO CA
94110-4989
US

V. Phone/Fax

Practice location:
  • Phone: 606-233-4865
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95039481
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: