Sujan Gautam (NPI# 1790499630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider Identifier (NPI) | 1790499630 |
Entity Type | Individual |
Full Name | Sujan Gautam |
Credential | NP |
Gender | Male |
Practice Address |
900 Folsom St Apt 414 San Francisco CA 94107-2170 |
Practice Telephone | 3182435254 |
Mailing Address |
900 Folsom St Apt 414 San Francisco CA 94107-2170 |
Mailing Telephone | 3182435254 |
Sole Proprietor | Yes, this individual is a Sole Proprietor |
Enumeration Date | 2023-01-05 |
Last Update Date | 2023-01-05 |
Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
---|---|---|---|---|---|
Yes | 363LF0000X | Nurse Practitioner · Family | Physician Assistants & Advanced Practice Nursing Providers | 95023796 | CA |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come⦠|
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1275243255 | Inderjeet Kaur | 1600 Market St, San Francisco, CA 94102-5910 | 2022-11-30 | |
1235849787 | Jessica Yuri Dyatlov | 462 Bright St, San Francisco, CA 94132-2802 | 2022-11-24 | |
1508574658 | Leslie Taylan Barahona | 1700 California St Ste 570, San Francisco, CA 94109-4591 | 2022-11-08 | |
1659089654 | Nina Golubski | 925 Pierce St Apt 5, San Francisco, CA 94115-5604 | 2022-11-08 | |
1679299465 | Thanh Vy Le Nguyen | 229 7th St, San Francisco, CA 94103-4003 | 2022-10-13 | |
1114641271 | Kathyanne Monica Ricci | 555 Buena Vista Ave W Apt 203, San Francisco, CA 94117-4139 | 2022-10-03 | |
1346964616 | Randy David Flannery Jr. | 1030 Broderick St, San Francisco, CA 94115-3903 | 2022-09-30 | |
1245968668 | Lisa Christine Gertridge | 559 Clay St, San Francisco, CA 94111-3029 | 2022-08-12 | |
1245968668 | Lisa Christine Gertridge | 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 | 2022-08-12 | |
1194451120 | Lauren Consolazio | 4 Embarcadero Ctr # Ll2, San Francisco, CA 94111-4106 | 2022-08-01 | |
Find all providers in SAN FRANCISCO |
Street Address |
900 FOLSOM ST APT 414 |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94107-2170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477265106 | Rania Mohsin | 760 Harrison St, San Francisco, CA 94107-1235 | 2022-12-13 | |
1811608292 | Rewind Medical, PC | 660 Indiana St Apt 310, San Francisco, CA 94107-3843 | 2022-12-07 | |
1346951647 | Daniel Fleming | 1050 17th St Apt 402, San Francisco, CA 94107-2565 | 2022-12-07 | |
1427768217 | Monica D Ramirez Cisneros | 240 King St Ste G2, San Francisco, CA 94107-1702 | 2022-12-02 | |
1225747157 | Gilda Mcafee | 401 3rd St, San Francisco, CA 94107-1214 | 2022-11-18 | |
1275241796 | Eleisha Tanya Redmond | 760 Harrison St, San Francisco, CA 94107-1235 | 2022-11-14 | |
1982312757 | Rewind Co | 660 Indiana St Apt 310, San Francisco, CA 94107-3843 | 2022-11-10 | |
1285351262 | Kelan Thomas | 401 3rd St, San Francisco, CA 94107-1214 | 2022-10-20 | |
1629792478 | Jilleen Ward | 832 Folsom St Ste 702, San Francisco, CA 94107-4502 | 2022-09-26 | |
1629792478 | Jilleen Ward | 832 Folsom St Ste 702, San Francisco, CA 94107-4502 | 2022-09-26 | |
Find all providers in zip 94107 |
City | SAN FRANCISCO |
Zip Code | 94107 |
Please comment or provide details below to improve the information on Sujan Gautam.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.