Healthcare Provider Details

I. General information

NPI: 1467635474
Provider Name (Legal Business Name): JOAN SAXTON MD F A C P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2007
Last Update Date: 03/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DANIEL BURNHAM CT SUITE 370C
SAN FRANCISCO CA
94109-5455
US

IV. Provider business mailing address

1 DANIEL BURNHAM CT SUITE 370C
SAN FRANCISCO CA
94109-5455
US

V. Phone/Fax

Practice location:
  • Phone: 415-771-1578
  • Fax: 415-771-1679
Mailing address:
  • Phone: 415-771-1578
  • Fax: 415-771-1679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG030218
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberG030218
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: