MEDICARE: SAN FRANCISCO CONCIERGE PSYCHIATRY

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1831025204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN FRANCISCO CONCIERGE PSYCHIATRY

Provider Business Mailing Address
First Line	:	450 SUTTER ST RM 1822
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4111
Country	:	US
Telephone Number	:	415-706-8993
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 SUTTER ST RM 1822
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4111
Country	:	US
Telephone Number	:	415-706-8993
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. MARIO ALBERTO BENITEZ-LOPEZ
Credential	:	MD
Telephone Number	:	415-706-8993

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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Practice Location Address:

450 SUTTER ST RM 1824
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1851324065 — DAVID J. MACGREGOR, M.D., APC
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Directions to “SAN FRANCISCO CONCIERGE PSYCHIATRY ” Practice Location

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