MEDICARE: DILYS J BART 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	207W00000X	Ophthalmology Physician	G839841	CA

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	:	1598843963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DILYS J BART MD

Provider Business Mailing Address
First Line	:	3838 CALIFORNIA ST
Second Line	:	RM 100
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-1504
Country	:	US
Telephone Number	:	415-751-7700
Fax Number	:	415-751-7701

Provider Business Practice Location Address
First Line	:	3838 CALIFORNIA ST
Second Line	:	RM 100
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-1504
Country	:	US
Telephone Number	:	415-751-7700
Fax Number	:	415-751-7701

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	10/26/2017

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