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NPI Code Detail

MEDICARE: BETH KAO

MEDICARE: BETH KAO
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
1363LF0000XFamily Nurse Practitioner95023225CA

General Provider Information

NPI Number : 1255294203
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH KAO
Provider Business Mailing Address
First Line : 1100 VAN NESS AVE FL 3
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-6978
Country : US
Telephone Number : 415-600-1051
Fax Number : 415-922-1589
Provider Business Practice Location Address
First Line : 1100 VAN NESS AVE FL 3
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-6978
Country : US
Telephone Number : 415-600-1051
Fax Number : 415-922-1589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2025
Last Update Date : 12/06/2025

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