Provider Demographics
NPI:1134240476
Name:BRISTOW, JAMES D (M D)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:D
Last Name:BRISTOW
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCSF MEDICAL CENTER
Mailing Address - Street 2:400 PARNASSUS AVENUE 2ND FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0374
Mailing Address - Country:US
Mailing Address - Phone:415-353-2008
Mailing Address - Fax:925-296-5752
Practice Address - Street 1:UCSF MEDICAL CENTER
Practice Address - Street 2:400 PARNASSUS AVENUE 2ND FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0374
Practice Address - Country:US
Practice Address - Phone:415-353-2008
Practice Address - Fax:925-296-5752
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG59217208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G592070OtherMEDI-CAL
CA00G592171Medicare ID - Type UnspecifiedMEDICARE
CAA53476Medicare UPIN