Individual provider · Type 1 NPI

Hayley Rae Vandenberg, PA

Surgical Physician Assistant · San Francisco, CA

NPI number 1730602376 Active

Practice location

1600 Divisadero St
San Francisco, CA 94143-3010

Call (415) 353-4201 Map

Other practice locations

  • 608 Radam Ln, Austin, TX 78745-1172 · (512) 443-5988

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA18331 (TX)
Surgical Physician Assistant Primary 363AS0400XPA57700 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1730602376

Hayley Rae Vandenberg, PA's National Provider Identifier is 1730602376, issued on Jul 25, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Francisco, CA. The record was last updated on Aug 25, 2025.