Healthcare Provider Details

I. General information

NPI: 1255468245
Provider Name (Legal Business Name): JOSHUA D. BAMBERGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 EDDY ST HOUSING AND URBAN HEALTH CLINIC
SAN FRANCISCO CA
94102-2716
US

IV. Provider business mailing address

234 EDDY ST HOUSING AND URBAN HEALTH CLINIC
SAN FRANCISCO CA
94102-2716
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-5095
  • Fax: 415-292-5048
Mailing address:
  • Phone: 415-353-5095
  • Fax: 415-292-5048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG70403
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberG70403
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: