KELLIANN MARIE MASTERSON (NPI# 1275046740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275046740 |
| Entity Type | Individual |
| Full Name | KELLIANN MARIE MASTERSON |
| Credential | PA |
| Practice Address |
559 Clay St Ste 200 San Francisco CA 94111-3029 |
| Mailing Address |
1 Embarcadero Ctr Ste 1900 San Francisco CA 94111-3723 |
| Practice Telephone | 4156445265 |
| Practice Fax Number | 4152910489 |
| Mailing Telephone | 4156586791 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 55354 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 Heartwood Dr, Rohnert Park, CA 949281895 | 9253486197 | 9253486197 |
| Street Address |
559 CLAY ST STE 200 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94111-3029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346295821 | Luukia Ruidas | Family Medicine | 559 Clay St Ste 200, San Francisco, CA 94111-3029 | 2006-05-23 |
| 1962939884 | Stephen Co Lim | Family Medicine | 559 Clay St Ste 200, San Francisco, CA 94111-3029 | 2017-05-23 |
| 1699129395 | Jean Pierre Valette | Family Medicine | 559 Clay St Ste 200, San Francisco, CA 94111-3029 | 2016-04-19 |
| 1033504667 | Jorge Arturo Pico | Family Medicine | 559 Clay St Ste 200, San Francisco, CA 94111-3029 | 2015-03-31 |
| 1255610630 | Christine Marie Brown | Physician Assistant | 559 Clay St Ste 200, San Francisco, CA 94111-3029 | 2011-08-16 |
| 1992931273 | Hemalee Kiritkumar Patel | Internal Medicine | 559 Clay St Ste 200, San Francisco, CA 94111-3029 | 2009-06-01 |
| 1205999034 | William Sellman | Family Medicine | 559 Clay St Ste 200, San Francisco, CA 94111-3029 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704574 | Dannielle Robin Jardine | Behavior Technician | 744 Montgomery St Suite 400, San Francisco, CA 94111 | 2019-08-06 |
| 1427543784 | Christopher Steven Olsen | Dentist | Two Embarcadero Center, Promenade Level, San Francisco, CA 94111 | 2018-06-28 |
| 1275042319 | Leena Suthar Pandya | Naturopath | 747 Front Street, C/o Empower, San Francisco, CA 94111 | 2017-09-20 |
| 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 |
| 1306115217 | Mary Catherine Shipman | Family Medicine | 440 Davis Court, Apt 1012, San Francisco, CA 94111 | 2011-12-21 |
| Find all providers in zip 94111 | ||||
| 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 | 94111 |
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| 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.