MEDICARE: DR. ESI DICKSON MD

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	180894	CA

General Provider Information

NPI Number	:	1164003745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ESI DICKSON MD

Provider Business Mailing Address
First Line	:	1001 POTRERO AVE RM 3C34
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-3518
Country	:	US
Telephone Number	:	415-206-8934
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 POTRERO AVE RM 3C34
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-3518
Country	:	US
Telephone Number	:	415-206-8934
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2021
Last Update Date	:	04/28/2026

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Directions to “ DR. ESI DICKSON MD” Practice Location

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