Healthcare Provider Details

I. General information

NPI: 1629309398
Provider Name (Legal Business Name): ALANN WEISSMAN-WARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2010
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 BUENA VISTA AVE W
SAN FRANCISCO CA
94117-4108
US

IV. Provider business mailing address

815 BUENA VISTA AVE W
SAN FRANCISCO CA
94117-4108
US

V. Phone/Fax

Practice location:
  • Phone: 415-967-7058
  • Fax:
Mailing address:
  • Phone: 415-967-7058
  • Fax: 315-451-3860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberA116570
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD176080
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: