Healthcare Provider Details

I. General information

NPI: 1407850910
Provider Name (Legal Business Name): JEFFREY MICHAEL ZIMMET M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 CLEMENT ST SAN FRANCISCO VA MEDICAL CENTER
SAN FRANCISCO CA
94121-1545
US

IV. Provider business mailing address

4150 CLEMENT ST
SAN FRANCISCO CA
94121-1563
US

V. Phone/Fax

Practice location:
  • Phone: 415-750-2076
  • Fax:
Mailing address:
  • Phone: 415-750-2076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA78766
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: