MR. DANIEL JOSEPH MIZWICKI (NPI# 1497189245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497189245 |
| Entity Type | Individual |
| Full Name | MR. DANIEL JOSEPH MIZWICKI |
| Credential | PA-C |
| Practice Address |
1085 Valencia St San Francisco CA 94110-2405 |
| Mailing Address |
3400 Data Dr Attn Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 4154327889 |
| Practice Fax Number | 4154322701 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 58421 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1085 VALENCIA ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952390577 | Golden Gate Urgent Care, Inc | Emergency Medicine | 1085 Valencia St, San Francisco, CA 94110-2405 | 2005-10-17 |
| 1679908362 | Jasmine Michelle Jarrard | Physician Assistant | 1085 Valencia St, San Francisco, CA 94110-2405 | 2013-09-12 |
| 1548694987 | Nina Campagna | Naturopath | 1085 Valencia St, San Francisco, CA 94110-2405 | 2013-08-21 |
| 1780016279 | Shannon Lynn Wood Gallegos | Naturopath | 1085 Valencia St, San Francisco, CA 94110-2405 | 2013-08-06 |
| 1265730360 | Erika Lessey Chen | Acupuncturist | 1085 Valencia St, San Francisco, CA 94110-2405 | 2011-03-14 |
| 1124149794 | Jennifer Ashby | Acupuncturist | 1085 Valencia St, San Francisco, CA 94110-2405 | 2007-04-02 |
| 1528106002 | Carol A Francois | Acupuncturist | 1085 Valencia St, San Francisco, CA 94110-2405 | 2007-02-05 |
| 1093882672 | Tamara Brown | Acupuncturist | 1085 Valencia St, San Francisco, CA 94110-2405 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| 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 | 94110 |
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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.