Healthcare Provider Details

I. General information

NPI: 1962737031
Provider Name (Legal Business Name): SARAH ELIZABETH GOGLIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2009
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE DEPT. OF INTERNAL MEDICINE
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

1001 POTRERO AVE. BLDG. 90, FL. 2
SAN FRANCISCO CA
94110-3518
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-1528
  • Fax:
Mailing address:
  • Phone: 628-206-4777
  • Fax: 628-206-7503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA117201
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA117201
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: