WILLIAM CODY BLACK (NPI# 1609172758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609172758 |
| Entity Type | Individual |
| Full Name | WILLIAM CODY BLACK |
| Credential | PA-C |
| Practice Address |
170 Columbus Ave Ste 110 San Francisco CA 94133-5160 |
| Mailing Address |
3400 Data Dr Attn: Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 4159658050 |
| Practice Fax Number | 4159657678 |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2018-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 55756 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 5953 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| 1043628928 | William Black | Pharmacist | 343 S 500 E Apt 217, Salt Lake City, UT 84102-4024 | 2014-07-23 |
| 1275731721 | William Edward Black | Dentist | 182 East Washington Street, Chambersburg, PA 17201 | 2007-07-06 |
| 1972716314 | William Jesse Black | Counselor | 77 W 5th St, Zumbrota, MN 55992-1650 | 2007-05-08 |
| 1497878334 | William Howard Black | Internal Medicine | 7129 Duckhorn Ln, The Colony, TX 75056-5342 | 2007-04-07 |
| 1902935349 | William Edward Black | Dentist | 1612 N 2nd St, Harrisburg, PA 17102-2438 | 2007-03-03 |
| 1063591162 | William Thomas Black | Optometrist | 420 E Elm St, Caldwell, ID 83605-4846 | 2006-11-02 |
| 1326121211 | William R Black | Preventive Medicine | 1313 S Range Line Rd, Joplin, MO 64801-5588 | 2006-10-23 |
| 1467532010 | William Black | Internal Medicine | 2015 Steiner St, San Francisco, CA 94115-2627 | 2006-10-17 |
| 1609800598 | William L Black Jr. | Internal Medicine | 1485 Chester Blvd, Richmond, IN 47374-1919 | 2006-07-10 |
| Street Address |
170 COLUMBUS AVE STE 110 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94133-5160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588614077 | David Alan Rossi | Emergency Medicine | 170 Columbus Ave Ste 110, San Francisco, CA 94133-5160 | 2006-05-12 |
| 1396256525 | Shelley Z Bi | Physician Assistant | 170 Columbus Ave Ste 110, San Francisco, CA 94133-5160 | 2017-10-16 |
| 1750813622 | Rebecca Wersan | Physician Assistant | 170 Columbus Ave Ste 110, San Francisco, CA 94133-5160 | 2017-03-30 |
| 1346623923 | Reshna Maniklal | Physician Assistant | 170 Columbus Ave Ste 110, San Francisco, CA 94133-5160 | 2015-07-01 |
| 1295114122 | Michael Paul Mclaren | Emergency Medicine | 170 Columbus Ave Ste 110, San Francisco, CA 94133-5160 | 2015-05-26 |
| 1497155683 | Jennifer Bentley | Physician Assistant | 170 Columbus Ave Ste 110, San Francisco, CA 94133-5160 | 2014-08-26 |
| 1376982058 | Lisa Miller | Physician Assistant | 170 Columbus Ave Ste 110, San Francisco, CA 94133-5160 | 2013-06-17 |
| 1053600676 | Alexa Dorothea Bisinger | Emergency Medicine | 170 Columbus Ave Ste 110, San Francisco, CA 94133-5160 | 2011-04-04 |
| 1841444791 | Andrew H. Allen | Physician Assistant | 170 Columbus Ave Ste 110, San Francisco, CA 94133-5160 | 2008-11-05 |
| 1245267103 | Karen Lee Feeney | Emergency Medicine | 170 Columbus Ave Ste 110, San Francisco, CA 94133-5160 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073176558 | Stephanie Quach | Pharmacist | 845 Jackson Street (pharmacy), San Francisco, CA 94133 | 2019-04-19 |
| 1235474610 | Discover Health Medical Partners Inc | Naturopath | 990 Columbus Avenue, San Francisco, CA 94133 | 2012-12-11 |
| 1891092490 | Qiang Zhu | Acupuncturist | 367 Bay Street, San Francisco, CA 94133 | 2011-02-16 |
| 1619284676 | Kathy Mei | Nurse Practitioner | 835 Jackson St Mob, #329, San Francisco, CA 94133 | 2010-09-10 |
| 1346467040 | Rebecca Helen Wakefield | Physical Therapist | 2140 Taylor St, Apt 905, San Francisco, CA 94133 | 2007-04-20 |
| 1598897191 | Ross William Graham | Chiropractor | 802 Montgomery St, San Francisco, CA 94133 | 2007-03-09 |
| 1265573620 | Julie K. Tse | Nurse Practitioner | 1490 Mason Street, Chinatown Public Health Center, San Francisco, CA 94133 | 2007-02-09 |
| 1285786301 | Cornelia Byrne Hoppe | Marriage & Family Therapist | 1632 Taylor St #6, San Francisco, CA 94133 | 2007-01-17 |
| 1205904281 | Shantala Umashankar | Psychiatry & Neurology | 939 Jackson Street, Apartment 201, San Francisco, CA 94133 | 2006-11-30 |
| 1467521070 | Josephine Mak | Family Medicine | 818 Jackson Street, Suite 301, San Francisco, CA 94133 | 2006-11-07 |
| Find all providers in zip 94133 | ||||
| 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 | 94133 |
Please comment or provide details below to improve the information on WILLIAM CODY BLACK.
| 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.