Healthcare Provider Details

I. General information

NPI: 1699639013
Provider Name (Legal Business Name): POFS PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 N SAN MATEO DR STE 600
SAN MATEO CA
94401-2675
US

IV. Provider business mailing address

235 N SAN MATEO DR STE 600
SAN MATEO CA
94401-2675
US

V. Phone/Fax

Practice location:
  • Phone: 650-342-0213
  • Fax: 650-342-0636
Mailing address:
  • Phone: 650-342-0213
  • Fax: 650-342-0636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0112X
TaxonomyOral and Maxillofacial Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADAM PETER FAGIN
Title or Position: PARTNER
Credential: MD
Phone: 650-823-9606