Active NPI
Sally Daganzo, M.D.
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1811210412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A107615
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 107615 | CA | MD | Marriage & Family Therapist |
| A107615 | CA | MD | Internal Medicine Physician |
| MD-16120 | HI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sally Daganzo, MD Inc | Internal Medicine | Current | Accepting new patients |
| Sally Daganzo, MD Inc | Internal Medicine | Current | Accepting new patients |
Locations
1050 Northgate Dr
Ste 500
San Rafael, CA 94903
Phone (415) 249-2580
Interoperability endpoints
- sdaganzores51051@hisp.ehr.sutterhealth.org
- 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.
-
- Internal Medicine Physician
- San Rafael, CA
- NPI 1114774098
-
- Internal Medicine Physician
- San Rafael, CA
- NPI 1629825500
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.