Healthcare Provider Details

I. General information

NPI: 1922680032
Provider Name (Legal Business Name): CHELSEA HAYMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2021
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE. BUILDING 25, 1ST FLOOR
SAN FRANCISCO CA
94110
US

IV. Provider business mailing address

24010 BALSAM CT
AUBURN CA
95602-8162
US

V. Phone/Fax

Practice location:
  • Phone: 628-206-8111
  • Fax: 628-206-9038
Mailing address:
  • Phone: 925-528-9181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA201641
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: