Healthcare Provider Details

I. General information

NPI: 1548027337
Provider Name (Legal Business Name): JOHN HARTMANN, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3632 SACRAMENTO ST STE 3
SAN FRANCISCO CA
94118-1710
US

IV. Provider business mailing address

3632 SACRAMENTO ST STE 3
SAN FRANCISCO CA
94118-1710
US

V. Phone/Fax

Practice location:
  • Phone: 415-562-0833
  • Fax: 580-297-9702
Mailing address:
  • Phone: 415-562-0833
  • Fax: 580-297-9702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN STUART HARTMANN
Title or Position: PRESIDENT
Credential: MD
Phone: 415-562-0833