Individual provider · Type 1 NPI

William Cody Black, PA-C

Physician Assistant · San Francisco, CA

NPI number 1609172758 Active

Practice location

170 Columbus Ave Ste 110
San Francisco, CA 94133-5160

Call (415) 965-8050 Map

Fax (415) 965-7678

Mailing address

3400 Data Dr, Attn: Credentialing/payer Enrollment
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5953 (AZ)
Physician Assistant Primary 363A00000X55756 (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 1609172758

William Cody Black, PA-C's National Provider Identifier is 1609172758, issued on Feb 8, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Francisco, CA. The record was last updated on Nov 29, 2018.