Individual provider · Type 1 NPI

Rose Broderick Hare, PA-C

Physician Assistant · San Rafael, CA

NPI number 1306120787 Active

Practice location

1004 Northgate Dr
San Rafael, CA 94903-2502

Call (888) 663-6331 Map

Fax (415) 252-7176

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice locations

  • 19780 S US Highway 281, San Antonio, TX 78221-9761 · (210) 626-0600

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X57937 (CA)
Physician Assistant 363A00000XNone listed

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 1306120787

Rose Broderick Hare, PA-C's National Provider Identifier is 1306120787, issued on Oct 4, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Rafael, CA. The record was last updated on Sep 28, 2026.