Healthcare Provider Details

I. General information

NPI: 1013239060
Provider Name (Legal Business Name): CARINA BAIRD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2010
Last Update Date: 02/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE # M691
SAN FRANCISCO CA
94143-0110
US

IV. Provider business mailing address

505 PARNASSUS AVE # M691
SAN FRANCISCO CA
94143-0110
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA110560
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: