Provider Demographics
NPI:1760073514
Name:SILVA, ANITA SABA
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:SABA
Last Name:SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1833 FILLMORE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3181
Mailing Address - Country:US
Mailing Address - Phone:415-922-0660
Mailing Address - Fax:415-922-1090
Practice Address - Street 1:1833 FILLMORE ST STE 100
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3181
Practice Address - Country:US
Practice Address - Phone:415-992-0660
Practice Address - Fax:415-922-1090
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA156FX1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic