MS. TRACY ELLEN FEARNSIDE


Address: 680 W. Tennyson Rd., Silva Clinic, Hayward, CA 94544
Phone: 5107824470

MS. TRACY ELLEN FEARNSIDE (NPI# 1184781973) 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) 1184781973
Entity Type Individual
Full Name MS. TRACY ELLEN FEARNSIDE
Credential P.A.-C.
Practice Address 680 W. Tennyson Rd.
Silva Clinic
Hayward
CA 94544
Mailing Address Primary Care Associate Program, Stanford University Sch
1215 Welch Rd., Modular G
Palo Alto
CA 94305-5408
Practice Telephone 5107824470
Practice Fax Number 5107824756
Mailing Telephone 6507367773
Mailing Fax Number 6507239692
Enumeration Date 2007-01-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA 11284 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 680 W. TENNYSON RD.
SILVA CLINIC
City HAYWARD
State CA
Zip Code 94544

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1235642307 Ana Cecilia Contreras Counselor 550 Berry Ave, 1, Hayward, CA 94544 2017-11-13
1528580990 Mind Fitness Center Counselor 225 West. Winton Ave, Suite 202d, Hayward, CA 94544 2017-07-07
1831628262 Edith Mcneal Counselor 31518 Medinah St., Hayward, CA 94544 2017-06-08
1629456520 Kevin Porciuncula Family Medicine 1251 W Tennyson Rd Ste 4, Hayward, CA 94544 2015-05-12
1104226273 Mohamed Conteh Social Worker 555 Sycamore Avenue #4, Hayward, CA 94544 2014-08-26
1386993558 Jose Angel Gonzalez Jr. Counselor 107 Jackson St., Hayward, CA 94544 2012-09-04
1003171828 Alameda County Public Health Nursing Public Health or Welfare 24085 Amador, Hayward, CA 94544 2012-07-09
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578174231 Frank Crespo Physician Assistant 18246 Robscott Ave, Hayward, CA 94541-2242 2020-08-14
1912539271 Crystal Adriana Padilla Physician Assistant 809 Hampton Rd, Hayward, CA 94541-1421 2020-02-05
1598141921 Keith T Bersch Physician Assistant 27206 Calaroga Ave Ste 107, Hayward, CA 94545-4300 2015-08-07
1548508369 Marzia Mujaddide Physician Assistant 27171 Calaroga Ave Ste 3, Hayward, CA 94545-4344 2013-01-29
1740370584 Kristof Piotr Kaminski Physician Assistant 21297 Foothill Blvd Ste 201, Hayward, CA 94541-1554 2006-10-13
1609986280 Jamie Lea Taylor Bell Physician Assistant 11134 N State Road 77, Hayward, WI 54843-5325 2006-08-30
1568075869 Veronica Wire Physician Assistant 795 Fletcher Ln, Hayward, CA 94544-1008 2020-08-26
1760034193 Barbara L Bowman Physician Assistant 11040 N State Road 77, Hayward, WI 54843 2019-07-16
1255842639 Spencer Knapp Physician Assistant 27200 Calaroga Ave, Hayward, CA 94545-4339 2017-10-12
1992227805 Johanna Ho Physician Assistant 27200 Calaroga Ave, Hayward, CA 94545-4339 2017-07-12
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Competitor

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City HAYWARD
Zip Code 94544

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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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