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SALLY DAGANZO, MD INC
NPI 1629825500
Internal Medicine in San Rafael, CA

Active since April 30, 2024
4040 CIVIC CENTER DR, SAN RAFAEL, CA 94903(415) 249-2580 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sally Daganzo, Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY DAGANZO, MD INC (NPI 1629825500) is a healthcare organization registered as an internal medicine in San Rafael, California and active in the NPI registry since April 2024. The organization lists Sally Daganzo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629825500
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSALLY DAGANZO, MD INC
Location Address4040 CIVIC CENTER DRSan Rafael, CA 94903-4150
Mailing Address454 Las Gallinas Ave # 1083San Rafael, CA 94903-3618
Phone(415) 249-2580
Organization SubpartNo
Authorized OfficialSally DaganzoCeo · (415) 249-2580
Enumeration DateApril 30, 2024
NPPES CertifiedNovember 2, 2022
✔ NPI 1629825500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4040 CIVIC CENTER DR, San Rafael, CA 94903
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACOB PANQUALE PANZARELLA PH.D.
Clinical Neuropsychologist
4040 CIVIC CENTER DR, SUITE 200
SAN RAFAEL, CA 94903
Marin County (415) 381-0300
MS. ROBERTA GORDIN RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4040 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 795-8050
DR. MEREDEE CRUTCHER PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4040 CIVIC CENTER DR, SUITE 200
SAN RAFAEL, CA 94903
Marin County (415) 721-3562

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Daganzo, MD Inc's NPI number?

The NPI number for Sally Daganzo, MD Inc is 1629825500. It was assigned to this organization in the NPPES registry on April 30, 2024.

Where is Sally Daganzo, MD Inc located?

Sally Daganzo, MD Inc is located at 4040 Civic Center Dr, San Rafael, CA 94903. The listed phone number is (415) 249-2580.

What is Sally Daganzo, MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Sally Daganzo, MD Inc was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.