Provider Demographics
NPI:1669582458
Name:CARTERON, NANCY L (MD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:CARTERON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 MARTHA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-2835
Mailing Address - Country:US
Mailing Address - Phone:415-469-0643
Mailing Address - Fax:
Practice Address - Street 1:2100 WEBSTER ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2375
Practice Address - Country:US
Practice Address - Phone:415-923-6534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG52227207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G522270Medicare ID - Type Unspecified
E42415Medicare UPIN