Individual
MR. JASON D BLANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP, MSN
Contact information
Practice address
234 EDDY ST, HOUSING AND URBAN HEALTH CLINIC, SAN FRANCISCO, CA 94102-2716
(415) 353-5045
(415) 292-5048
Mailing address
234 EDDY ST, HOUSING AND URBAN HEALTH CLINIC, SAN FRANCISCO, CA 94102-2716
(415) 353-5045
(415) 292-5048
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN568106
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
NPF13458
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073908
SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
—
Enumeration date
03/23/2007
Last updated
09/11/2025
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