Healthcare Provider Details

I. General information

NPI: 1184519241
Provider Name (Legal Business Name): AMAST MEDICAL ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 GEARY ST STE 1500 #1717
SAN FRANCISCO CA
94108-5628
US

IV. Provider business mailing address

166 GEARY ST STE 1500 #1717
SAN FRANCISCO CA
94108-5628
US

V. Phone/Fax

Practice location:
  • Phone: 415-745-2855
  • Fax:
Mailing address:
  • Phone: 415-745-2855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JACK HALE BUCHANAN
Title or Position: CO-OWNER & PHYSICIAN
Credential: MD, PHD
Phone: 415-745-2855