Healthcare Provider Details

I. General information

NPI: 1053543249
Provider Name (Legal Business Name): SABRINA FERNANDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SABRINA SANTIAGO

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 11/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 POST STREET SUITE 320 PEDIATRIC PRIMARY CARE
SAN FRANCISCO CA
94143
US

IV. Provider business mailing address

2330 POST STREET SUITE 320 PEDIATRIC PRIMARY CARE
SAN FRANCISCO CA
94143
US

V. Phone/Fax

Practice location:
  • Phone: 415-885-7478
  • Fax: 415-885-3790
Mailing address:
  • Phone: 415-885-7478
  • Fax: 415-885-3790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA121198
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: