Jessica Gayle Irwi Stark in San Francisco - Physician Assistant
Jessica Gayle Irwi Stark - NPI 1215117643
Jessica Gayle Irwi Stark is a Physician Assistant in San Francisco, California. Jessica Gayle Irwi Stark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessica Gayle Irwi Stark is 1215117643. The last update date is 2011-01-20.
Jessica Gayle Irwi Stark's current location address is 2340 Clay St, 4th Floor Department Of Transplant, San Francisco, California. You can contact this provider via phone number 4156001010 and fax number 4156001295. The mailing address for Jessica Gayle Irwi Stark is 2340 Clay St, 4th Floor Department Of Transplant, San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Gayle Irwi Stark |
|---|---|
| Address | 2340 Clay St, 4th Floor Department Of Transplant, San Francisco, California |
| Phone Number | 4156001010 |
| Fax Number | 4156001295 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1215117643 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2011-01-20 |
Provider Mailing Address Detail
| Address | 2340 Clay St, 4th Floor Department Of Transplant |
|---|---|
| City | San Francisco |
| State | California (CA) |
| Post Code | 94115 |
| Phone Number | 4156001010 |
| Fax Number | 4156001295 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA19216 |
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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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What is the unique 10-digit identification code assigned to Jessica Gayle Irwi Stark by the Centers for Medicare & Medicaid Services?
The Jessica Gayle Irwi Stark has been issued the NPI (National Provider Identifier) 1215117643, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jessica Gayle Irwi Stark?
The Jessica Gayle Irwi Stark is situated at 2340 Clay St, 4Th Floor Department Of Transplant, in the city of San Francisco, state of CA, with the zip code 94115.
What is Jessica Gayle Irwi Stark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jessica Gayle Irwi Stark's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Jessica Gayle Irwi Stark receive its 1215117643 assignment from the Centers for Medicare & Medicaid Services?
The Jessica Gayle Irwi Stark was assigned its 1215117643 by the Centers for Medicare & Medicaid Services on 2007-11-14.
As of what date were the Jessica Gayle Irwi Stark's details last updated?
The information pertaining to the Jessica Gayle Irwi Stark, including its address, specialty, and other details, was most recently updated on 2011-01-20.