METAMORPH, INC. (NPI# 1902106982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902106982 |
| Entity Type | Organization |
| Organization Name | METAMORPH, INC. |
| Practice Address |
7725 Kilmarnok Dr San Jose CA 95135-2140 |
| Practice Telephone | 4088520703 |
| Mailing Telephone | 4088520703 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |
| Authorized Official Name | PHYLLIS N BORNER (PRESIDENT) |
| Authorized Official Telephone | 4088520703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
17859 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
17859 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 17859 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7725 KILMARNOK DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95135-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518267582 | Phyllis N Borner | Physician Assistant | 7725 Kilmarnok Dr, San Jose, CA 95135-2140 | 2010-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285199497 | Dharitri Pattanaik | Respiratory Therapist, Registered | 2919 Queens Estates Ct, San Jose, CA 95135 | 2019-02-01 |
| 1184170458 | Excel Medicine Inc | General Acute Care Hospital | 4035 Evergreen Village Square, St # 60, San Jose, CA 95135 | 2016-08-28 |
| 1205106770 | Angel Prestige Residential Care, LLC | Custodial Care Facility | 3305 Marcel Court, San Jose, CA 95135 | 2011-12-30 |
| 1427182179 | Andrew D Harsany Dds Inc | Dentist | 2945 The Villages Parkway, San Jose, CA 95135 | 2007-03-15 |
| 1548377898 | Berna Sanayei | Dentist | 2929 The Villages Parkway, San Jose, CA 95135 | 2006-08-24 |
| 1821034232 | Anupama Balakrishnan | Family Medicine | 1333 Meridian Avenue, San Jose, CA 95135 | 2006-06-22 |
| 1154485142 | Sharon Diana Hoefling | Dentist | 4205 San Felipe Rd, Suite 200, San Jose, CA 95135 | 2006-12-21 |
| 1679889869 | Binh Bao Lam | Dentist | 3869 Thompson Creek Ct, San Jose, CA 95135-1000 | 2010-08-25 |
| 1780187666 | Edna Porter Lewis | Counselor | 4078 Lawther Ct, San Jose, CA 95135-1021 | 2018-03-16 |
| 1346708310 | Atin Gupta | Physical Therapist | 4205 Ruby Ave, San Jose, CA 95135-1109 | 2019-03-07 |
| Find all providers in zip 95135 | ||||
| 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 |
|---|---|---|---|---|
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1881210029 | Jeremy Nathan Birch | Physician Assistant | 1287 San Moritz Dr, San Jose, CA 95132-2754 | 2020-06-23 |
| 1609491158 | Kaitlin Aquino | Physician Assistant | 1382 Bing Dr, San Jose, CA 95129-4703 | 2020-06-10 |
| 1275152282 | Heema K Bhagat | Physician Assistant | 6967 Sessions Dr, San Jose, CA 95119-1335 | 2020-04-09 |
| 1013557925 | Kassaundra Cervantes | Physician Assistant | 2114 Mckee Rd, San Jose, CA 95116-1427 | 2020-01-08 |
| 1508416207 | Shelley Brunkan | Physician Assistant | 227 Giddings Ct, San Jose, CA 95139-1421 | 2019-09-14 |
| 1053960724 | Caroline Luczak | Physician Assistant | 88 E San Fernando St, San Jose, CA 95113-2535 | 2019-09-05 |
| 1336704402 | Irene Rummel | Physician Assistant | 1227 Gehrig Ave, San Jose, CA 95132-2714 | 2019-05-04 |
| 1801350749 | Brenda H.t. Nguyen | Physician Assistant | 1102 Brooks Range Lndg, San Jose, CA 95131-3803 | 2019-01-24 |
| 1477021848 | Christina Ly | Physician Assistant | 1569 Lexann Ave Ste 206, San Jose, CA 95121-1795 | 2018-11-05 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on METAMORPH, INC..
| 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.