MS. MARY SURDILLA P.A-C NPI 1407197437

NPI Information

NPI: 1407197437
Provider Name: MS. MARY SURDILLA, P.A-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: SUTTER BAY MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
3200 KEARNEY ST
FREMONT, CA
ZIP 94538
Phone: (510) 498-2890
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MS. Mary Surdilla, P.A-C is a medical physician assistant in Fremont, CA with 23 years of experience. MS. Mary Surdilla, P.A-C NPI is 1407197437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3200 KEARNEY ST
FREMONT, CA
ZIP 94538-299
Phone: (510) 498-2890

The NPI 1407197437 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/15/2013 and was last updated on 6/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA 15975	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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