Healthcare Provider Details

I. General information

NPI: 1114128386
Provider Name (Legal Business Name): ROSEMARY DE PEREZ NP MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 POTRERO AVE BLDG.80 WD 86 SFGH AIDS - PHP CLINIC
SAN FRANCISCO CA
94110
US

IV. Provider business mailing address

995 POTRERO AVE BLDG.80 WD 86 SFGH AIDS - PHP CLINIC
SAN FRANCISCO CA
94110
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-8676
  • Fax: 415-502-4777
Mailing address:
  • Phone: 415-206-8676
  • Fax: 415-502-4777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN394241
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNPF4709
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: