Healthcare Provider Details

I. General information

NPI: 1750468278
Provider Name (Legal Business Name): SARAH ANNE JEWELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVENUE BLDG 30 5TH FLOOR
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

UC BOX # 0843
SAN FRANCISCO CA
94143-0001
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-5200
  • Fax: 415-206-8949
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG67970
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberG67970
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: