Healthcare Provider Details

I. General information

NPI: 1518033034
Provider Name (Legal Business Name): MICHAEL BRIAN SILVA N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4216 18TH ST SUITE 2
SAN FRANCISCO CA
94114-2410
US

IV. Provider business mailing address

4216 18TH ST SUITE 2
SAN FRANCISCO CA
94114-2410
US

V. Phone/Fax

Practice location:
  • Phone: 415-963-1024
  • Fax:
Mailing address:
  • Phone: 415-963-1024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number497453
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP22584
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number22584
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: