PEDIATRIC ASSOCIATES (NPI# 1366735581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366735581 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES |
| Practice Address |
400 Parnassus Ave San Francisco CA 94143-2202 |
| Mailing Address |
1635 Divisadero St Ste 625 San Francisco CA 94143-1821 |
| Practice Telephone | 4154761000 |
| Mailing Telephone | 4154764029 |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |
| Authorized Official Name | MR. DAVE REIN (CFO) |
| Authorized Official Telephone | 4154764003 |
| Is Organization Subpart | Y |
| Parent Organization Name | UCSF MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
220000091 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
220000091 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 220000091 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205974623 | Pediatric Associates | Pediatrics | 450 Veterans Memorial Pkwy Bldg 10, East Providence, RI 02914-5300 | 2007-02-01 |
| 1013954510 | Pediatric Associates | Pediatrics | 321c E College Ave, Stanton, KY 40380-2325 | 2006-06-01 |
| 1851348338 | Pediatric Associates | Pediatrics | 156 Island Creek Road, Pikeville, KY 41501 | 2006-05-28 |
| 1487600615 | Pediatric Associates | Family Medicine | 1710 N Main St, Pediatric Associates, Hazard, KY 41701-1278 | 2006-05-26 |
| 1851848899 | Pediatric Associates | Specialist | 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 | 2016-09-07 |
| 1710318886 | Pediatric Associates | Pediatrics | 1001 Hioaks Rd, Richmond, VA 23225-4029 | 2013-11-27 |
| 1295921534 | Pediatric Associates | Clinic/Center | 2401 Blueridge Ave, Suite 210, Wheaton, MD 20902-4517 | 2007-09-20 |
| 1073674206 | Pediatric Associates | Pediatrics | 4501 Groveway, Houston, TX 77087 | 2006-12-12 |
| 1639257215 | Pediatric Associates | Specialist | 59325 River West Drive, Suite D, Plaquemine, LA 70764 | 2006-11-01 |
| 1811941057 | Pediatric Associates | Pediatrics | 30 Medical Center Blvd, Suite 103, Upland, PA 19013-3955 | 2006-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PEDIATRIC ASSOCIATES FOR LANGUAGE AND SPEECH, PLLC | 333 West 57th St., Ste 107, New York, Ny 10019 |
| Massachusetts Corporations | PEDIATRIC ASSOCIATES INC. OF BROCKTON | 370 Oak Street, Brockton, MA 02301 |
| Iowa Business Entities | PEDIATRIC ASSOCIATES IOWA CITY BUILDING PARTNERSHIP LLP | 605 E Jefferson St, Iowa City, IA 52245 |
| Virginia Business Entities | PEDIATRIC ASSOCIATES OF ALEXANDRIA INC. | 6355 Walker Lane #401, Alexandria, Virginia 22310 |
| Virginia Business Entities | PEDIATRIC ASSOCIATES OF CHARLOTTESVILLE P.L.C. | 1011 E Jefferson St, Charlottesville, Virginia 22902 |
| Iowa Business Entities | PEDIATRIC ASSOCIATES OF CORALVILLE BUILDING PARTNERSHIP LLP | 605 E Jefferson St, Iowa City, IA 52245 |
| Colorado Business Entities | Pediatric Associates of Durango, Inc. | 29423 Highway 160, Durango, CO 81301 |
| Massachusetts Corporations | PEDIATRIC ASSOCIATES OF FALL RIVER, INC. | 851 Middle St., Fall River, MA 02721 |
| Massachusetts Corporations | PEDIATRIC ASSOCIATES OF FRANKLIN COUNTY, P.C. | 56 Main St., Turners Falls, MA 01376 |
| Oregon Corporations, Companies and Business Names | PEDIATRIC ASSOCIATES OF GRESHAM, P.C. | 2150 Ne Division St Ste 103, Gresham, OR 97030 |
| Street Address |
400 PARNASSUS AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010824 | Michael J Coughlin | Orthopaedic Surgery | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2005-08-11 |
| 1932736170 | Sven Joshua Walderich | Student in an Organized Health Care Education/Training Program | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2020-03-26 |
| 1063049120 | Betelhem Negash Kifle | Student in an Organized Health Care Education/Training Program | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2020-03-26 |
| 1104451608 | Micha Zheng | Student in an Organized Health Care Education/Training Program | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2020-03-05 |
| 1801434360 | Paul Park IIi | Physical Therapist | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2019-12-16 |
| 1851941298 | James Sardelis | Nurse Practitioner | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2019-09-18 |
| 1649834896 | Arati Bharat Patel | Specialist | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2019-04-23 |
| 1679136998 | Joyce Yen Yen Lam | Student in an Organized Health Care Education/Training Program | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2019-04-22 |
| 1841762515 | Katelyn Allison Zweigle | Specialist/Technologist | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2018-12-19 |
| 1043786593 | Sakchai Ruangsin | Surgery | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2018-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1427672559 | Grace Ellen Banks | Physician Assistant | 1199 Bush St Ste 620, San Francisco, CA 94109-5977 | 2020-06-04 |
| 1386270403 | Marcella Santos | Physician Assistant | 67 Skyview Way, San Francisco, CA 94131-1248 | 2020-03-20 |
| 1942846050 | Amy Kim | Physician Assistant | 450 Sutter St Rm 1404, San Francisco, CA 94108-4003 | 2019-11-24 |
| 1831731041 | Erica Keller | Physician Assistant | 1998 Market Street, Within Carbon Health, San Francisco, CA 94102 | 2019-10-09 |
| 1841844040 | Isheen Dizon Dantes Herrera | Physician Assistant | 2238 Geary Blvd Fl 2se, San Francisco, CA 94115-3416 | 2019-07-26 |
| 1396306148 | Jillian Kelter | Physician Assistant | 956 Sacramento St, San Francisco, CA 94108-2054 | 2019-06-24 |
| 1689134801 | Nicola Jane Shea | Physician Assistant | 1500 Owens St Fl 2, San Francisco, CA 94158-2338 | 2019-03-22 |
| 1548720816 | Kyle Patrick Johnson | Physician Assistant | 2955 Clay St Apt 1, San Francisco, CA 94115-1766 | 2019-03-22 |
| 1427536754 | Krystal Shin | Physician Assistant | 2100 Webster St Ste 305, San Francisco, CA 94115-2376 | 2018-07-30 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94143 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.