Tina Bhutani-Jacques, MD, INC
Dermatology in San Francisco, CA. Organization (NPI-2).
Details
- NPI
- 1174385652
- Entity type
- Organization (NPI-2)
- Legal business name
- Tina Bhutani-Jacques, MD, INC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2024
- Certification date
- Feb 12, 2024
- Last updated
- Feb 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Other names
- Synergy Dermatology (Doing Business As)
Practice location
595 Buckingham Way Ste 220San Francisco, CA 94132-1910
Phone 415-333-0348 · Fax 415-333-0349
Mailing address
595 Buckingham Way Ste 220San Francisco, CA 94132-1910
Phone 714-235-9633 · Fax 415-333-0349
Authorized official
Tina Bhutani-Jacques
Owner
7142359633
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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