Basic Information
Provider Information
NPI: 1427443811
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAINBRIDGE
FirstName: EMMA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 400 PARNASSUS AVE
Address2: 5TH FLOOR
City: SAN FRANCISCO
State: CA
PostalCode: 94143
CountryCode: US
TelephoneNumber: 4153532626
FaxNumber: 4153532568
Practice Location
Address1: 995 POTRERO AVE BLDG 80
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941102859
CountryCode: US
TelephoneNumber: 6282062400
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/02/2015
LastUpdateDate: 07/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200XA149016CAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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