Provider Demographics
NPI:1639293459
Name:TAYO-SAMONI, DALISAY C (NP MSN)
Entity Type:Individual
Prefix:MS
First Name:DALISAY
Middle Name:C
Last Name:TAYO-SAMONI
Suffix:
Gender:F
Credentials:NP MSN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1001 POTRERO AVE # 5H6
Mailing Address - Street 2:ACUTE MEDICINE CLINIC
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-206-3776
Mailing Address - Fax:415-206-8965
Practice Address - Street 1:1001 POTRERO AVE # 5H6
Practice Address - Street 2:ACUTE MEDICINE CLINIC
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-3776
Practice Address - Fax:415-206-8965
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN516893163WP2201X
CANPF12798363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
108936OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER