=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316746076
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INVUITY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2025
-----------------------------------------------------
Last Update Date | 05/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 166 GEARY STREET STE 1500 SUITE 572
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94108-5628
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 628-218-9702
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 166 GEARY ST STE 1500
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94108-5628
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 628-218-9702
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AUTHORIZED OFFICIAL
-----------------------------------------------------
Name | JACOB MCINTYRE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 628-218-9702
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BD1200X
-----------------------------------------------------
Taxonomy Name | Dialysis Equipment & Supplies (DME)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------