Healthcare Provider Details

I. General information

NPI: 1144781915
Provider Name (Legal Business Name): ALYSSA GAYLE CAPLAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 LAUREL ST
SAN CARLOS CA
94070-3939
US

IV. Provider business mailing address

1000 LAUREL ST
SAN CARLOS CA
94070-3939
US

V. Phone/Fax

Practice location:
  • Phone: 650-596-8800
  • Fax: 650-596-8802
Mailing address:
  • Phone: 650-596-8800
  • Fax: 650-596-8802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA179987
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA179987
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: