Healthcare Provider Details

I. General information

NPI: 1962635680
Provider Name (Legal Business Name): MASAMI HATTORI MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2009
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SHRADER ST STE 600
SAN FRANCISCO CA
94117-1018
US

IV. Provider business mailing address

1 SHRADER ST STE 600
SAN FRANCISCO CA
94117-1018
US

V. Phone/Fax

Practice location:
  • Phone: 415-292-9756
  • Fax: 412-292-3481
Mailing address:
  • Phone: 415-292-9756
  • Fax: 415-292-3481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MASAMI HATTORI
Title or Position: OWNER
Credential: M.D.
Phone: 415-292-9756