COLLEEN GUSTAFSON ESPENSCHIED PA-C. NPI 1366464471

NPI Information

  • NPI: 1366464471
  • Provider Name: COLLEEN GUSTAFSON ESPENSCHIED, PA-C.
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 2017 1ST AVE
    SAN DIEGO, CA
    ZIP 92101
  • Phone: (619) 881-4577

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NPI Details

Colleen Gustafson Espenschied, PA-C. is a surgical physician assistant in San Diego, CA. Colleen Gustafson Espenschied, PA-C. NPI is 1366464471. 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:

2017 1ST AVE
SAN DIEGO, CA
ZIP 92101-033
Phone: (619) 881-4577
Fax: (619) 231-1031

The enumeration date for this NPI number is 7/25/2006 and was last updated on 4/4/2013.

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
1363AS0400XPhysician AssistantSurgicalPA17108CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q53875MEDICARE UPINCALIFORNIA
2PA17108MEDICAIDCALIFORNIA
3WPA17108AMEDICARE PINCALIFORNIA

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: 3/30/2025

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