Jaclyn Rene Bilello in Palo Alto - Physician Assistant
Jaclyn Rene Bilello - NPI 1285695445
Jaclyn Rene Bilello is a Physician Assistant in Palo Alto, California. Jaclyn Rene Bilello practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jaclyn Rene Bilello is 1285695445. The last update date is 2020-07-17.
Jaclyn Rene Bilello's current location address is 211 Quarry Rd Ste 305, Palo Alto, California. You can contact this provider via phone number 6504989000 and fax number 2157312198. The mailing address for Jaclyn Rene Bilello is 211 Quarry Rd Ste 305, Palo Alto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaclyn Rene Bilello |
|---|---|
| Address | 211 Quarry Rd Ste 305, Palo Alto, California |
| Phone Number | 6504989000 |
| Fax Number | 2157312198 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1285695445 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2020-07-17 |
Provider Mailing Address Detail
| Address | 211 Quarry Rd Ste 305 |
|---|---|
| City | Palo Alto |
| State | California (CA) |
| Post Code | 943041416 |
| Phone Number | 6504989000 |
| Fax Number | 2157312198 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1713 |
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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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1301071 | MA | -- |
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What is the Jaclyn Rene Bilello's unique identification number?
The Jaclyn Rene Bilello has been assigned the NPI (National Provider Identifier) Number 1285695445 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jaclyn Rene Bilello's physical address?
The Jaclyn Rene Bilello is physically located at 211 Quarry Rd Ste 305, in the city of Palo Alto, CA, with the postal code 943041416.
What is Jaclyn Rene Bilello's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jaclyn Rene Bilello is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285695445 to Jaclyn Rene Bilello?
The Centers for Medicare & Medicaid Services originally issued the 1285695445 to Jaclyn Rene Bilello on 2006-03-29.
When was the information regarding Jaclyn Rene Bilello most recently updated?
The details pertaining to the Jaclyn Rene Bilello, including its address, specialty, and other relevant information, were last refreshed on 2020-07-17.
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