Healthcare Provider Details

I. General information

NPI: 1144003732
Provider Name (Legal Business Name): SASHA BINFORD R.N., AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE STE M630
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

455 WARREN DR APT 8
SAN FRANCISCO CA
94131-1043
US

V. Phone/Fax

Practice location:
  • Phone: 415-502-4481
  • Fax:
Mailing address:
  • Phone: 805-272-5035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95040501
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number4535
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: