Healthcare Provider Details

I. General information

NPI: 1043274301
Provider Name (Legal Business Name): JOAN SAXTON MD FACP MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 12/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE DANIEL BURNHAM CRT #370
SAN FRANCISCO CA
94109
US

IV. Provider business mailing address

ONE DANIEL BURNHAM CRT #370C
SAN FRANCISCO CA
94109
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 TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberG030218
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG030218
License Number StateCA

VIII. Authorized Official

Name: DR. JOAN SAXTON
Title or Position: PHYSICIAN
Credential: MD
Phone: 415-771-1578