=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346130218
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAFETAPER, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/03/2025
-----------------------------------------------------
Last Update Date | 07/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 508 SAN ANSELMO AVE STE 10
-----------------------------------------------------
City | SAN ANSELMO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94960-2632
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-450-9943
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2261 MARKET ST # 22546
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94114-1612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-450-9943
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | NATHANIEL ERICH LEPP
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 650-260-8575
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207QA0401X
-----------------------------------------------------
Taxonomy Name | Addiction Medicine (Family Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------