Healthcare Provider Details

I. General information

NPI: 1447952593
Provider Name (Legal Business Name): NATHAN BILLETT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 EL CAMINO REAL
SOUTH SAN FRANCISCO CA
94080-3299
US

IV. Provider business mailing address

5820 OWENS DR FL 2
PLEASANTON CA
94588-3900
US

V. Phone/Fax

Practice location:
  • Phone: 650-742-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number199091
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: