Individual provider Active NPI

Sally Daganzo, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1811210412
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A107615 Issued in CA
Practice address
3801 Sacramento St
3Rd Floor
San Francisco, CA 94118-1625
Phone
(415) 600-2402
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A107615 CA Primary

Addresses

Primary practice location

3801 Sacramento St
3Rd Floor
San Francisco, CA 94118-1625

Mailing address

2351 Clay St
#372
San Francisco, CA 94115-1931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
107615CAMDMarriage & Family Therapist
A107615CAMDInternal Medicine Physician
MD-16120HIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sally Daganzo, MD Inc Internal Medicine Current Accepting new patients
Sally Daganzo, MD Inc Internal Medicine CurrentSince May 7, 2024 Accepting new patients

Locations

1050 Northgate Dr
Ste 500
San Rafael, CA 94903
Phone (415) 249-2580

Interoperability endpoints

  • Direct secure messaging: sdaganzores51051@hisp.ehr.sutterhealth.org
  • Direct secure messaging: sally.daganzo@860874571251716.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1811210412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 CLAY ST",
            "address_2": "#372",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SACRAMENTO ST",
            "address_2": "3RD FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181625",
            "telephone_number": "415-600-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGANZO",
        "first_name": "SALLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A107615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.