Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Dedrick Gavin Hamilton, MD

Individual provider Internal Medicine Physician · NPI 1669421202

Ivan Dedrick Gavin Hamilton, MD is an Internal Medicine in San Francisco, California. Graduated from Georgetown University School of Medicine in 2002, 24 years ago. Practices with La Clinica De La Raza Inc, a 131-clinician group and accepts Medicare assignment. Licensed in California and Maryland.

Years since qualifying
24
Trained at
Georgetown University School of Medicine
Licensed in
CA, MD
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2351 Clay St Ste 308
San Francisco, CA 94115-1931
Phone: (415) 600-3458
Fax: (415) 600-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A104632 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence D63437 (MD)

Record details

NPI number1669421202
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESMay 28, 2021
Certification dateMay 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice La Clinica De La Raza Inc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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