Healthcare Provider Details

I. General information

NPI: 1265323596
Provider Name (Legal Business Name): CALLAHAN HEALTHCARE PARTNERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 GATEWAY BLVD STE 120
SOUTH SAN FRANCISCO CA
94080-7066
US

IV. Provider business mailing address

10281 BENTLEY OAKS AVE
LAS VEGAS NV
89135-2037
US

V. Phone/Fax

Practice location:
  • Phone: 650-480-6023
  • Fax: 650-480-6023
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD CALLAHAN III
Title or Position: OWNER
Credential: MD
Phone: 385-229-9889