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METAMORPH INC. NPI 1902106982


NPI Information

NPI: 1902106982
Provider Name: METAMORPH, INC.
Classification: Physician Assistant - 363A00000X
Entity Type: Organization
Address:
7725 KILMARNOK DR
SAN JOSE, CA
ZIP 95135
Phone: (408) 852-0703
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METAMORPH, INC. is a physician assistant in San Jose, CA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. METAMORPH, INC. NPI is 1902106982. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7725 KILMARNOK DR
SAN JOSE, CA
ZIP 95135-140
Phone: (408) 852-0703

The provider's authorized official is Phyllis N Borner .
The authorized official title is President and has the following contact phone number (408) 852-0703.

The enumeration date for this NPI number is 10/25/2010 and was last updated on 10/25/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical17859CALIFORNIANo
2363AS0400XPhysician AssistantSurgical17859CALIFORNIANo
3363A00000XPhysician Assistant17859CALIFORNIAYes

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: 4/28/2024

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