Search › California › 207RE0101X
Samuel Fantaye, MD
NPI 1336677186 · on the registry since 2017
Practice
- Address
- 20642 John Dr
Castro Valley, CA 94546 - Phone
- (510) 857-2559
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Also registered as
- 207QB0002X
207R00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California