Healthcare Provider Details

I. General information

NPI: 1477505881
Provider Name (Legal Business Name): JAMES W. OSTROFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 10/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 PARNASSUS AVE SUITE 410
SAN FRANCISCO CA
94117-3608
US

IV. Provider business mailing address

350 PARNASSUS AVE SUITE 410
SAN FRANCISCO CA
94117-3608
US

V. Phone/Fax

Practice location:
  • Phone: 415-502-2112
  • Fax: 415-514-3400
Mailing address:
  • Phone: 415-502-2112
  • Fax: 415-514-3400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG41522
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberG41522
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: