Healthcare Provider Details

I. General information

NPI: 1356323463
Provider Name (Legal Business Name): GOLDEN GATE MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3620 CESAR CHAVEZ
SAN FRANCISCO CA
94110-4315
US

IV. Provider business mailing address

3620 CESAR CHAVEZ
SAN FRANCISCO CA
94110-4315
US

V. Phone/Fax

Practice location:
  • Phone: 415-826-7575
  • Fax: 415-826-3014
Mailing address:
  • Phone: 415-826-7575
  • Fax: 415-826-3014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number00G610840
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number00G551130
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number00G380390
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number00A111410
License Number StateCA

VIII. Authorized Official

Name: DR. JEROME ALVIN FRANZ
Title or Position: PARTNER
Credential: MD
Phone: 415-826-7575