Individual provider · Type 1 NPI

Bianca Neema Wibisono, PA-C

Physician Assistant · San Jose, CA

NPI number 1134812548 Active

Practice location

1071 Blossom Hill Rd
San Jose, CA 95123-1105

Call (408) 445-4020 Map

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X62531 (CA)

Physician Assistant: 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, orde…

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About NPI 1134812548

Bianca Neema Wibisono, PA-C's National Provider Identifier is 1134812548, issued on May 31, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Jose, CA. The record was last updated on Sep 13, 2023.