ALEXIS CHRISTINE KOFOED


Address: 1 Embarcadero Ctr # R-1203, San Francisco, CA 94111-3628
Phone: 7076736506

ALEXIS CHRISTINE KOFOED (NPI# 1770078479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770078479
Entity Type Individual
Full Name ALEXIS CHRISTINE KOFOED
Credential PA-C
Practice Address 1 Embarcadero Ctr # R-1203
San Francisco
CA 94111-3628
Mailing Address 2619 Seminole Ct
Fairfield
CA 94534-7871
Practice Telephone 7076736506
Mailing Telephone 7076736506
Enumeration Date 2018-06-25
Last Update Date 2018-06-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA55669 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA PA55669 05

Office Location

Street Address 1 EMBARCADERO CTR # R-1203
City SAN FRANCISCO
State CA
Zip Code 94111-3628

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1619353943 Rebecca Ho Lee Behavioral Analyst 744 Montgomery St #400, San Francisco, CA 94111 2015-08-10
1497146229 Lisa Shaw Physical Therapist 659 Commercial St, Suite 101, San Francisco, CA 94111 2015-02-16
1730594227 Travel Well Corporation Preventive Medicine 1750 Montgomery St. 1st Floor, San Francisco, CA 94111 2014-06-24
1881006724 Corey Todhunter Chiropractor 9 Columbus Avenue, San Francisco, CA 94111 2014-05-27
1033557574 Geetha Ravi Thaker Family Medicine 2 Embarcadero Ctr Lbby Level415, San Francisco, CA 94111 2013-06-06
1700155298 Owen D. Renik Psychiatry & Neurology 388 Market Street, Suite 1010, San Francisco, CA 94111 2011-12-29
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992253579 Christopher Dambroso Physician Assistant 690 Long Bridge St, Apt 414, San Francisco, CA 94158-2391 2016-09-13
1720479553 Naf Nasser Almadari Physician Assistant 717 Baden Ave, San Francisco, CA 94080 2015-02-16
1972947950 William Karnett Physician Assistant 1426 Fillmore St Ste 206, San Francisco, CA 94115-7408 2013-04-22
1144474099 Adam Morris Physician Assistant 930 Cole St Ste 102, San Francisco, CA 94117-4367 2008-11-05
1285834309 Rona Sharon Haertel Physician Assistant 780 S Airport Blvd, International Terminal Level 3, San Francisco, CA 94128 2007-07-18
1740303288 Sarah J Maxwell Physician Assistant 110 Sutter St Ste 200, Metropolitan Medical Group, San Francisco, CA 94104-4008 2007-04-09
1356407951 David E Allen Physician Assistant 1 Shrader St., Suite 650, San Francisco, CA 94117 2006-12-28
1093882540 Catherine Elizabeth Thompson Physician Assistant 3801 Sacramento St Ste 100, San Francisco, CA 94118-1625 2006-11-29
1134169410 Richard Thomas Dibella Physician Assistant 2324 Sacramento St Ste 111, San Francisco, CA 94115-2383 2006-06-07
1033169073 Brandon Carr Physician Assistant 541 Steiner St Apt 4, San Francisco, CA 94117-2574 2006-05-11
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Competitor

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City SAN FRANCISCO
Zip Code 94111

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Dataset Information

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.

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