KRISTAN JAN WHEELER


Address: 875 Blake Wilbur Dr, Mail Code 5826, Palo Alto, CA 94304-2205
Phone: 6507257722

KRISTAN JAN WHEELER (NPI# 1831127646) 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) 1831127646
Entity Type Individual
Full Name KRISTAN JAN WHEELER
Credential PA-C
Practice Address 875 Blake Wilbur Dr
Mail Code 5826
Palo Alto
CA 94304-2205
Practice Telephone 6507257722
Practice Fax Number 6507364176
Mailing Telephone 6507257722
Mailing Fax Number 6507364176
Enumeration Date 2006-06-29
Last Update Date 2012-03-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
PA10005041 WA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA21918 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 875 BLAKE WILBUR DR
MAIL CODE 5826
City PALO ALTO
State CA
Zip Code 94304-2205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720699028 Tiffany Conelia Brown Registered Nurse 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 2020-08-11
1417578550 Anna Wilcoxon Registered Nurse 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 2020-04-29
1831732577 Stephen Siu Physician Assistant 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 2019-10-25
1417590092 Brian Lasonde Internal Medicine 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 2019-10-25
1013562065 Amelia Jones Physician Assistant 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 2019-08-07
1164077665 Tricia S Marcos Nurse Practitioner 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 2019-08-02
1942762430 Hyunsoo Joshua No Student in an Organized Health Care Education/Training Program 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 2019-04-03
1043783830 Heather Bernice Boulting Nurse Practitioner 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 2019-01-04
1184119653 Noah Kastelowitz-lieberman Student in an Organized Health Care Education/Training Program 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 2018-06-27
1669960555 Daniel Herrick Student in an Organized Health Care Education/Training Program 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 2018-04-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477170611 Richard Engdahl Specialist/Technologist, Other 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 2020-07-04
1720603582 Lily Wenya Zhou Psychiatry & Neurology 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 2020-06-08
1033738521 Perry Seo Choi Student in an Organized Health Care Education/Training Program Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 2020-04-14
1073150355 Tara Mcdermott Nurse Practitioner 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 2019-12-05
1811542723 Mark Henry Chubb Pediatrics Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 2019-08-07
1194285114 Cora Steindl Nurse Practitioner 300 Pasteur Drive Rm H2512, Stanford, CA 94304 2019-03-25
1407333057 Deborah Menet Landi Social Worker Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 2018-07-26
1982100798 Jonathan Hootman Student in an Organized Health Care Education/Training Program 900 Quarry Road Extension, Palo Alto, CA 94304 2018-04-02
1093234254 Adam C Maclellan Psychiatry & Neurology Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 2017-09-19
1194248153 Chanel Beaudoin Cloutier Plastic Surgery 770 Welch Road, Suite 400, Palo Alto, CA 94304 2017-07-21
Find all providers in zip 94304

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366497331 Gunars Bite Physician Assistant 3821 Ross Rd, Palo Alto, CA 94303-4523 2006-05-24
1689275059 Colin Elie Physician Assistant 725 Welch Rd, Palo Alto, CA 94304-1601 2020-11-03
1164939930 Edward Andy Nguyen Physician Assistant 750 Welch Rd Ste 319, Palo Alto, CA 94304-1510 2018-01-03
1285147454 Eric Hong Physician Assistant 725 Welch Rd, Palo Alto, CA 94304-1601 2017-11-09
1942659610 Geovanna Suarez Physician Assistant 780 Welch Rd, Palo Alto, CA 94304-1516 2016-06-03
1306282496 Sunaina Ganesh Physician Assistant 795 El Camino Real, Palo Alto, CA 94301-2302 2013-05-15
1043560972 Julia Constance Bertozzi Physician Assistant 795 El Camino Real, Palo Alto, CA 94301-2302 2012-09-18
1760765846 Chad Pope Physician Assistant 750 Welch Rd, Suite 319, Palo Alto, CA 94304-1507 2011-09-24
1760783286 Katie Felix Physician Assistant 725 Welch Rd, Palo Alto, CA 94304-1601 2010-11-15
1659681278 Vadim I Bederov Physician Assistant 795 El Camino Real, Palo Alto, CA 94301 2010-10-16
Find all providers in PALO ALTO

Competitor

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City PALO ALTO
Zip Code 94304

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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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