KRISTAN JAN WHEELER PA-C NPI 1831127646

NPI Information

NPI: 1831127646
Provider Name: KRISTAN JAN WHEELER, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: STANFORD HEALTH CARE

PECOS Registration: Yes

Address:
875 BLAKE WILBUR DR
MAIL CODE 5826
PALO ALTO, CA
ZIP 94304
Phone: (650) 725-7722
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Kristan Jan Wheeler, PA-C is a surgical physician assistant in Palo Alto, CA with 29 years of experience. Kristan Jan Wheeler, PA-C NPI is 1831127646. 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:

875 BLAKE WILBUR DR
MAIL CODE 5826
PALO ALTO, CA
ZIP 94304-205
Phone: (650) 725-7722
Fax: (650) 736-4176

The NPI 1831127646 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 6/29/2006 and was last updated on 3/15/2012.

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	PA10005041	WASHINGTON	No
2	363AS0400X	Physician Assistant	Surgical	PA21918	CALIFORNIA	Yes

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
1	S32318	MEDICARE UPIN

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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