=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144249202
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FREDERIC P. WHINERY M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/19/2006
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3838 CALIFORNIA ST RM 600
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94118-1508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-923-3540
-----------------------------------------------------
Fax | 415-668-7615
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3838 CALIFORNIA ST RM 600
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94118-1508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-923-3528
-----------------------------------------------------
Fax | 415-563-4687
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | G23088
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------