Basic Information
| Provider Information | |||||||||
| NPI: | 1669458394 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEWMAN | ||||||||
| FirstName: | ALAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2340 CLAY ST FL 7 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941151932 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4156005959 | ||||||||
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| Practice Location | |||||||||
| Address1: | 601 DUBOCE AVE STE 250 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941173389 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4156005959 | ||||||||
| FaxNumber: | 4153691392 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2005 | ||||||||
| LastUpdateDate: | 07/22/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | G131457 | CA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | P00706931 | 01 | DC | RAILROAD MEDICARE | OTHER | G131457 | 01 | CA | STATE MEDICAL LICENSE | OTHER |