MR. IVAN JESUS PALACIOS PA- C NPI 1790310449

NPI Information

  • NPI: 1790310449
  • Provider Name: MR. IVAN JESUS PALACIOS, PA- C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1975 4TH ST
    SAN FRANCISCO, CA
    ZIP 94143
  • Phone: (415) 476-3501

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NPI Details

MR. Ivan Jesus Palacios, PA- C is a surgical physician assistant in San Francisco, CA. MR. Ivan Jesus Palacios, PA- C NPI is 1790310449. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1975 4TH ST
SAN FRANCISCO, CA
ZIP 94143-351
Phone: (415) 476-3501

The NPI 1790310449 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 3/3/2020 and was last updated on 7/3/2025.

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 AssistantSurgicalPA14405TEXASYes

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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