Healthcare Provider Details

I. General information

NPI: 1992646871
Provider Name (Legal Business Name): CAMERON HAGHSHENAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 STANYAN ST
SAN FRANCISCO CA
94117-1019
US

IV. Provider business mailing address

450 STANYAN ST
SAN FRANCISCO CA
94117-1019
US

V. Phone/Fax

Practice location:
  • Phone: 415-750-5942
  • Fax: 415-750-5594
Mailing address:
  • Phone: 415-750-5942
  • Fax: 415-750-5594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: