Healthcare Provider Details

I. General information

NPI: 1669525911
Provider Name (Legal Business Name): FARZANA AMIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2261 MARKET ST STE 86909
SAN FRANCISCO CA
94114-1612
US

IV. Provider business mailing address

2261 MARKET ST STE 86909
SAN FRANCISCO CA
94114-1612
US

V. Phone/Fax

Practice location:
  • Phone: 650-273-4082
  • Fax: 650-275-7559
Mailing address:
  • Phone: 650-273-4082
  • Fax: 650-275-7559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA95033
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084B0002X
TaxonomyObesity Medicine (Psychiatry & Neurology) Physician
License NumberA95033
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA95033
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: