Healthcare Provider Details

I. General information

NPI: 1609404839
Provider Name (Legal Business Name): CAZANDRA ZARAGOZA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 POTRERO AVE FL 1
SAN FRANCISCO CA
94110-2859
US

IV. Provider business mailing address

995 POTRERO AVENUE BLDG. 80 FL1
SAN FRANCISCO CA
94110-2859
US

V. Phone/Fax

Practice location:
  • Phone: 628-206-5252
  • Fax: 628-206-5252
Mailing address:
  • Phone: 628-206-5252
  • Fax: 628-206-7505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number188673
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: