Healthcare Provider Details

I. General information

NPI: 1477050730
Provider Name (Legal Business Name): DANIEL BRADFORD CARY WOOLRIDGE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 FOURTH ST.
SAN FRANCISCO CA
94158
US

IV. Provider business mailing address

550 16TH STREET 4TH FLOOR, 4551, BOX 0110
SAN FRANCISCO CA
94143
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-6245
  • Fax:
Mailing address:
  • Phone: 415-476-6245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA206529
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberPTL2337
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: