Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN DALE BLACK, PA
ActiveJORDAN DALE BLACK, PA is a Physician Assistant healthcare provider located in SAN FRANCISCO, California. NPI 1881421493 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAN FRANCISCO, CA
Registration Details
- NPI Number
- 1881421493
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2024 (1.9108577505166 yrs)
- Last Updated
- Nov 20, 2024
- License
-
64942 (CA)
Practice Information
- Address
-
505 PARNASSUS AVE # M917SAN FRANCISCO, CA, 941432204Browse CA providers · Browse ZIP 94143
- Phone
- 4153531116
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SAN FRANCISCO, CA
| Name | Credential | NPI |
|---|---|---|
| REGINA MARIE HUDAK | PA-C | 1346243185 |
| LAURA A KIRK | PA-C | 1003814989 |
| MELISSA JUNCKER | PA | 1275534562 |
| ROBIN NICOLE CLARK | PA C | 1063403483 |
| REBECCA G SHEEHAN | PA | 1225014798 |
| BEVERLY GAYLE RENICK | FNP PA-C | 1245218932 |
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.