Healthcare Provider Details

I. General information

NPI: 1922053776
Provider Name (Legal Business Name): ANTHONY JOHN SAGLIMBENI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 04/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 LAFAYETTE ST STE 105
SANTA CLARA CA
95050-4966
US

IV. Provider business mailing address

900 LAFAYETTE ST STE 105
SANTA CLARA CA
95050-4966
US

V. Phone/Fax

Practice location:
  • Phone: 408-293-7767
  • Fax: 408-300-9663
Mailing address:
  • Phone: 408-293-7767
  • Fax: 408-300-9663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG73977
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: