Sally Daganzo, MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SALLY DAGANZO, MD INC

Practice address

1050 Northgate Dr Ste 500
San Rafael, CA 94903-2542

Phone

(415) 249-2580

Fax

(415) 728-0375

NPI assigned

Apr 30, 2024

Last updated

Apr 30, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sally Daganzo, MD MA FACPNPI 1811210412

Title

Ceo

Phone

(415) 249-2580

Specialties & licenses 1

Addresses

Tax ID family

Sally Daganzo MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sally Daganzo, MD Inc

  • Internal Medicine Physician
  • San Rafael, CA
  • NPI 1629825500
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sally Daganzo, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1811210412
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1114774098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NORTHGATE DR STE 500",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032542",
            "telephone_number": "415-249-2580",
            "fax_number": "415-728-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NORTHGATE DR STE 500",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032542",
            "telephone_number": "415-249-2580",
            "fax_number": "415-728-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY DAGANZO, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "DAGANZO",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-249-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MA FACP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arash Salari, DO
• Placido Salazar
• Antoine Saleh, DDS
• Elizabeth Cronk Salin, MFT
• Kim C Salinger, PMHNP, FNP, RN
• Sally Daganzo, MD Inc
• Jeffrey Dean Salman, OD
• Marie E. Sammons
• San Rafael Care Center, Inc. (San Rafael Care Center)
• San Rafael City Schools

• Internal Medicine Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.