Page Tenley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA63962 Issued in CA

Practice address

2 H St
San Rafael, CA 94901-1700

Phone

(415) 459-4907

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710028800000",
    "number": "1023738408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 SUNNYSLOPE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101424",
            "telephone_number": "510-912-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 H ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011700",
            "telephone_number": "415-459-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENLEY",
        "first_name": "PAGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Teitelbaum, M.D.
• Albert John Teixeira
• Ana Martha Tejeda, AUD
• Telephysio Physical Therapy Incorporated
• Radka Varimezova Temnitzer, DDS
• Eric F. Tepper, MD
• Linda Terada-Yamamoto, PHARMD
• Carol Tereszkiewicz, MD
• Nicole Termonfils, PA-C, MPH
• Terra Linda Medical Group

• Physician Assistant in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.