MEDICARE: NORTHERN CALIFORNIA ANESTHESIA PHYSICIANS

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	282N00000X	General Acute Care Hospital	A71523	CA

General Provider Information

NPI Number	:	1598893364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN CALIFORNIA ANESTHESIA PHYSICIANS

Provider Business Mailing Address
First Line	:	2016 PACIFIC AVE APT 401
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-2258
Country	:	US
Telephone Number	:	415-346-3449
Fax Number	:	415-388-9443

Provider Business Practice Location Address
First Line	:	2016 PACIFIC AVE APT 401
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-2258
Country	:	US
Telephone Number	:	415-346-3449
Fax Number	:	415-388-9443

Authorized Official
Title or Position	:	ANESTHESIOLOGIST
Name	:	DR. LEVINSON GERSHON
Credential	:	M.D.
Telephone Number	:	925-951-1366

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	08/22/2020

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