CONNIE JARDINE (NPI# 1497806301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497806301 |
| Entity Type | Individual |
| Full Name | CONNIE JARDINE |
| Credential | PA-C |
| Practice Address |
2299 Post St Suite 107 San Francisco CA 94115-3441 |
| Practice Telephone | 4153459400 |
| Practice Fax Number | 4153458049 |
| Mailing Telephone | 4153459400 |
| Mailing Fax Number | 4153458049 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
12496 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHYSICIAN ASSISTANT NUMBE | 12496 | 01 |
| Street Address |
2299 POST ST SUITE 107 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94115-3441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386686 | Gary Martinovsky | Anesthesiology | 2299 Post St, Suite 205, San Francisco, CA 94115-3441 | 2005-06-16 |
| 1356715106 | Justin Stambaugh | Physical Therapist | 2299 Post St, Ste Ll8, San Francisco, CA 94115-3441 | 2015-11-17 |
| 1386056760 | City Surgical Center, LLC | Clinic/Center | 2299 Post St, Suite 108, San Francisco, CA 94115-3441 | 2014-05-20 |
| 1073850392 | Konstantin Bukov, M.d. Inc | Family Medicine | 2299 Post St, Suite 303, San Francisco, CA 94115-3441 | 2013-01-07 |
| 1043560477 | Catherine Cheung D.p.m., Professional Corporation | Podiatrist | 2299 Post St, Ste 107, San Francisco, CA 94115-3443 | 2012-09-13 |
| 1467702969 | Elly Laroque M.d., Professional Corporation | Orthopaedic Surgery | 2299 Post St, Ste 107, San Francisco, CA 94115-3443 | 2012-09-12 |
| 1851653174 | Kristin A Wingfield, Md | Internal Medicine | 2299 Post St, Ste: 107, San Francisco, CA 94115-3441 | 2012-06-12 |
| 1851677934 | Piers Barry Md Inc | Orthopaedic Surgery | 2299 Post St, Suite #103, San Francisco, CA 94115-3441 | 2011-11-02 |
| 1740564384 | Vladislava Ryvkin | Speech-Language Pathologist | 2299 Post St, Suite # 307, San Francisco, CA 94115-3441 | 2011-09-30 |
| 1407158348 | G Vaisman Inc | Family Medicine | 2299 Post St, Suite 201, San Francisco, CA 94115-3441 | 2010-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1881243822 | Clara Kwun | Social Worker | 1610 Scott St., San Francisco, CA 94115 | 2019-09-11 |
| 1467005207 | Tamara Aline Hostetler | Marriage & Family Therapist | 2859 Sacramento St., San Francisco, CA 94115 | 2019-07-22 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1710467410 | Joanna Katherine Hendrick | Marriage & Family Therapist | 1201 Fillmore Street, San Francisco, CA 94115 | 2018-08-21 |
| 1063998771 | Leonard Cheung | Counselor | Youth Services Bureau of San Francisco, 1426 Fillmore Street Suite 216, San Francisco, CA 94115 | 2018-07-16 |
| 1942709563 | Jobelle Cunanan | Behavior Technician | 1871 Turk St, San Francisco, CA 94115 | 2018-02-09 |
| 1083128235 | Dr. Jenny Mann, Nd | Clinic/Center | 2300 Sutter St Ste 301, San Francisco, CA 94115 | 2017-11-27 |
| Find all providers in zip 94115 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629267703 | Eric Alan Steckelman | Physician Assistant | 1634 Page St, San Francisco, CA 94117-2020 | 2007-10-15 |
| 1306049275 | Lynn Marie Beaudry | Physician Assistant | 2100 Webster St Ste 331, San Francisco, CA 94115-2378 | 2007-06-07 |
| 1346288495 | Julie Marie Gennarino | Physician Assistant | 350 Parnassus, Suite 105, San Francisco, CA 94143-0001 | 2006-06-02 |
| 1154389153 | Catherine Willenborg | Physician Assistant | 2898 Broadway St, San Francisco, CA 94115-1061 | 2006-05-02 |
| 1912423286 | Nicholas Elena | Physician Assistant | 450 Sutter St Rm 400, San Francisco, CA 94108-3907 | 2017-08-18 |
| 1790231801 | An Hong Tran | Physician Assistant | 500 Parnassus Ave, San Francisco, CA 94143-2203 | 2016-08-29 |
| 1982159802 | Susan Signorelli | Physician Assistant | 18 Bon Air Rd, San Francisco, CA 94939 | 2016-08-21 |
| 1902278393 | Beata Jaron | Physician Assistant | 77 Van Ness Ave Apt 302, San Francisco, CA 94102-6042 | 2015-10-23 |
| 1316344674 | Jessica Robinson | Physician Assistant | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2014-12-01 |
| 1417350976 | Shannon Lenore Farrell | Physician Assistant | Department of Neurological Surgery Ucsf, 400 Parnassus Avenue, Room A311, San Francisco, CA 94143-0332 | 2014-09-29 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94115 |
Please comment or provide details below to improve the information on CONNIE JARDINE.
| 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.