Healthcare Provider Details

I. General information

NPI: 1356403794
Provider Name (Legal Business Name): ANTHONY STEVEN DINTCHO DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2477 CHESTNUT STREET
SAN FRANCISCO CA
94123
US

IV. Provider business mailing address

2477 CHESTNUT STREET
SAN FRANCISCO CA
94123
US

V. Phone/Fax

Practice location:
  • Phone: 415-921-1922
  • Fax: 415-921-0771
Mailing address:
  • Phone: 415-921-1922
  • Fax: 415-921-0771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE1225
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE1225
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: