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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ANYA PEYSAKHOVICH, PA-C

Active

MRS. ANYA PEYSAKHOVICH, PA-C is a Surgical Physician Assistant healthcare provider located in CORTE MADERA, California. NPI 1215423363 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · CORTE MADERA, CA

Registration Details

NPI Number
1215423363
Provider Type
Individual
Gender
Female
NPI Issued
Jul 2, 2018 (8.1396864604485 yrs)
Last Updated
Sep 15, 2020
Licenses
58169 (CA)
022137 (NY)

Practice Information

Address
21 TAMAL VISTA BLVD STE 103
CORTE MADERA, CA, 949251133
Browse CA providers · Browse ZIP 94925
Phone
4159277660
Fax
4159277663
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in CORTE MADERA, CA

Name Credential NPI
DEBRA BETH ANZIANO PA-C 1538183686
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.