MEDICARE: ANESTHESIOLOGISTS' MEDICAL GROUP OF SAN FRANCISCO, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154379436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESTHESIOLOGISTS' MEDICAL GROUP OF SAN FRANCISCO, INC.

Provider Business Mailing Address
First Line	:	PO BOX 7793
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94120-7793
Country	:	US
Telephone Number	:	503-372-2740
Fax Number	:	503-372-2754

Provider Business Practice Location Address
First Line	:	900 HYDE ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-4806
Country	:	US
Telephone Number	:	415-353-6000
Fax Number	:

Authorized Official
Title or Position	:	GROUP PRESIDENT
Name	:	MATTHEW WYATT
Credential	:	MD
Telephone Number	:	314-974-5293

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	01/24/2025

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