Healthcare Provider Details

I. General information

NPI: 1770491268
Provider Name (Legal Business Name): MR. ANTONIO ESGUERRA CAYANAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 CLEMENT ST
SAN FRANCISCO CA
94121-1563
US

IV. Provider business mailing address

130 EASTRIDGE CIR
PACIFICA CA
94044-1103
US

V. Phone/Fax

Practice location:
  • Phone: 415-994-3526
  • Fax:
Mailing address:
  • Phone: 415-994-3526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number568382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: