Healthcare Provider Details

I. General information

NPI: 1073775656
Provider Name (Legal Business Name): TERESAMARIA GARCHITORENA KUNISHI ND, RN, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERESA MARIA CARMEN PINEDA GARCHITORENA NP

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 MARKET ST STE 200
SAN FRANCISCO CA
94102-5404
US

IV. Provider business mailing address

2053 MANZANITA DR
OAKLAND CA
94611-1148
US

V. Phone/Fax

Practice location:
  • Phone: 415-601-7387
  • Fax:
Mailing address:
  • Phone: 415-601-7387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95202164
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-276
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95018303
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: