MEDICARE: DR. CHRISTOPHER MICHAEL HAMERSKI M.D.

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	207R00000X	Internal Medicine Physician	A100282	CA
2	207RG0100X	Gastroenterology Physician	A100282	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1205033420	OTHER	CA	CCS PANELED
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205033420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER MICHAEL HAMERSKI M.D.

Provider Business Mailing Address
First Line	:	DEPT 34754
Second Line	:	P.O. BOX 39000
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94139-0001
Country	:	US
Telephone Number	:	415-600-1151
Fax Number	:	415-447-6330

Provider Business Practice Location Address
First Line	:	1101 VAN NESS AVE RM 3158
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-6919
Country	:	US
Telephone Number	:	415-600-1151
Fax Number	:

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

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	12/20/2021

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Directions to “ DR. CHRISTOPHER MICHAEL HAMERSKI M.D.” Practice Location

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