CONNIE JARDINE PA-C NPI 1497806301

NPI Information

  • NPI: 1497806301
  • Provider Name: CONNIE JARDINE, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 2299 POST ST
    SUITE 107
    SAN FRANCISCO, CA
    ZIP 94115
  • Phone: (415) 345-9400

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NPI Details

Connie Jardine, PA-C is a surgical physician assistant in San Francisco, CA. Connie Jardine, PA-C NPI is 1497806301. 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:

2299 POST ST
SUITE 107
SAN FRANCISCO, CA
ZIP 94115-441
Phone: (415) 345-9400
Fax: (415) 345-8049

The enumeration date for this NPI number is 1/16/2007 and was last updated on 7/8/2007.

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 AssistantSurgical12496CALIFORNIAYes

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
112496OTHERCALIFORNIAPHYSICIAN ASSISTANT NUMBE

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: 11/21/2025

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