MEDICARE: SAN FRANCISCO PHYSICIANS INTERNATIONAL MEDICAL GROUP, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363A00000X	Physician Assistant
2	363L00000X	Nurse Practitioner
3	207P00000X	Emergency Medicine Physician

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	:	1841220720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN FRANCISCO PHYSICIANS INTERNATIONAL MEDICAL GROUP, INC

Provider Business Mailing Address
First Line	:	5000 HOPYARD RD
Second Line	:	SUITE 100
City	:	PLEASANTON
State	:	CA
Zip	:	94588-3348
Country	:	US
Telephone Number	:	925-924-1600
Fax Number	:	925-924-0506

Provider Business Practice Location Address
First Line	:	6001 NORRIS CANYON RD
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5400
Country	:	US
Telephone Number	:	925-275-9200
Fax Number	:	925-275-0107

Authorized Official
Title or Position	:	CFO
Name	:	KRISTOPHER M SMITH
Credential	:
Telephone Number	:	925-251-6933

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	01/10/2020

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