Provider Demographics
NPI:1548069073
Name:DIMACALI, EUFEMIA ENCINARES
Entity type:Individual
Prefix:MS
First Name:EUFEMIA
Middle Name:ENCINARES
Last Name:DIMACALI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3890 CALLAN BLVD APT 208
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-5164
Mailing Address - Country:US
Mailing Address - Phone:415-418-8684
Mailing Address - Fax:
Practice Address - Street 1:3890 CALLAN BLVD APT 208
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-5164
Practice Address - Country:US
Practice Address - Phone:415-418-8684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034095363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily