Individual
DR. TIMOTHY J. DAVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109-6978
(415) 600-1000
(415) 558-7051
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-1000
(415) 558-7051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G79521
CA
207RG0100X
Gastroenterology Physician
G79521
CA
207RT0003X
Transplant Hepatology Physician
Primary
27766
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0G7952100
—
CA
01
—
G79521
STATE MEDICAL LICENSE
CA
Enumeration date
05/04/2006
Last updated
11/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us