Provider Demographics
NPI:1366480410
Name:LUFT, JANIS (MSN, NP)
Entity Type:Individual
Prefix:MS
First Name:JANIS
Middle Name:
Last Name:LUFT
Suffix:
Gender:F
Credentials:MSN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2356 SUTTER ST.
Mailing Address - Street 2:5TH FLOOR, BOX 1754
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-1754
Mailing Address - Country:US
Mailing Address - Phone:415-353-7430
Mailing Address - Fax:415-353-7667
Practice Address - Street 1:2356 SUTTER ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3006
Practice Address - Country:US
Practice Address - Phone:415-885-7788
Practice Address - Fax:415-885-7718
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA309693363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAS79400Medicare UPIN