IndividualActive
Jacqueline Grupp-Phelan, M.D.
NPI 1619904109 · Pediatric Emergency Medicine (Pediatrics) Physician · San Francisco, CA
Provider details
- NPI number
- 1619904109
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- G149165 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1001 Potrero Ave
Bldg. 25, 1st Floor
San Francisco, CA 94110-3518
Phone: (628) 206-8111
Fax: (628) 206-9038
Approximate (ZIP-level) locationGet directions
Mailing address
1001 Potrero Ave
San Francisco, CA 94110-3518
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2026-05-11
- Certified
- 2026-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.