MEDICARE: DOCTOR XIA 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	:	1962351825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTOR XIA PSYCHIATRY

Provider Business Mailing Address
First Line	:	2021 FILLMORE ST # 1383
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-2708
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2110 JACKSON ST APT 303
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-1531
Country	:	US
Telephone Number	:	415-598-8810
Fax Number	:	415-594-0127

Authorized Official
Title or Position	:	CEO
Name	:	TOM XIA
Credential	:	MD
Telephone Number	:	415-598-8810

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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