Healthcare Provider Details

I. General information

NPI: 1619197068
Provider Name (Legal Business Name): XAVIER ALACOQUE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UCSF DEPARTMENT OF ANESTHESIA AND PERIOPERATIVE CARE 521 PARNASSUS AVENUE ROOM C-450
SAN FRANCISCO CA
94143-0648
US

IV. Provider business mailing address

550 GENE FRIEND WAY APT 613 UCSF MISSION BAY HOUSING SERVICES SOUTH BUILDING
SAN FRANCISCO CA
94158-2289
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-2131
  • Fax:
Mailing address:
  • Phone: 415-254-8169
  • Fax: 210-855-7654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberF 5362
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: