Provider Demographics
NPI:1598843963
Name:BART, DILYS J (MD)
Entity Type:Individual
Prefix:
First Name:DILYS
Middle Name:J
Last Name:BART
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 1:3838 CALIFORNIA ST
Mailing Address - Street 2:RM 100
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1504
Mailing Address - Country:US
Mailing Address - Phone:415-751-7700
Mailing Address - Fax:415-751-7701
Practice Address - Street 1:3838 CALIFORNIA ST
Practice Address - Street 2:RM 100
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1504
Practice Address - Country:US
Practice Address - Phone:415-751-7700
Practice Address - Fax:415-751-7701
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG839841207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G839841Medicaid
00G839841Medicare ID - Type Unspecified
G65001Medicare UPIN