KELLIANN MARIE MASTERSON


Address: 559 Clay St Ste 200, San Francisco, CA 94111-3029
Phone: 4156445265

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 55354 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1250 Heartwood Dr, Rohnert Park, CA 949281895 9253486197 9253486197

Office Location

Street Address 559 CLAY ST STE 200
City SAN FRANCISCO
State CA
Zip Code 94111-3029

Providers in the same location

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

Providers in the same zip code

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 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
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

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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