Individual provider · Type 1 NPI

Ercole John Petrungaro, PA-C

Physician Assistant · San Francisco, CA

NPI number 1336206952 Active

Practice location

333 1st St Ste A
San Francisco, CA 94105-2661

Mailing address

10 Lafayette St
Staten Island, NY 10307-1225

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X25MP00256900 (NJ)
Medical Physician Assistant 363AM0700X010815 (NY)
Physician Assistant Primary 363A00000X010815 (NY)

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 1336206952

Ercole John Petrungaro, PA-C's National Provider Identifier is 1336206952, issued on Jan 2, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Francisco, CA. The record was last updated on Apr 23, 2025.