Provider Demographics
NPI:1487796744
Name:MCGUIRE, DAWN (MD)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 OAK DRIVE
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-3911
Mailing Address - Country:US
Mailing Address - Phone:510-812-2323
Mailing Address - Fax:925-258-6992
Practice Address - Street 1:45 CASTRO ST
Practice Address - Street 2:STE 227
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1033
Practice Address - Country:US
Practice Address - Phone:510-812-2323
Practice Address - Fax:925-258-6992
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG657562084N0400X
CAG0657562084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G65756Medicaid
CAE2664AOtherPTAN
CA00G65756Medicaid