Active NPI
Ann Hazen Whisenant, PA-C
- Surgical Physician Assistant
- San Leandro, CA
National Provider Identifier
1063486264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 11627
- Practice address
- 2500 Merced St
San Leandro, CA 94577-4201 - Phone
- (510) 454-1000
- Fax
- (925) 215-2251
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 11627 | CA | Primary |
Addresses
Primary practice location
2500 Merced St
San Leandro, CA 94577-4201
Mailing address
2500 Merced St
San Leandro, CA 94577-4201
Phone (510) 454-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11627 | CA | MD | Chiropractor |
| PA11827 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neil D. Rudo, M.D., a Professional Corporation | Past | Accepting new patients | |
| Surgical Physician Assistants, Inc. | Surgical | Past | Accepting new patients |
| Jack H. Stehr, M.D., Professional Corporation | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| Cypress Coast Cardiac Surgeons Medical Group Inc | Past | Accepting new patients | |
| Robert W. Fowler, M.D. a Professional Corporation | Past | Accepting new patients | |
| Innovative Wellness Inc a Nursing Corporation | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Salinas, CA
- NPI 1164453643
-
- Nurse Practitioner
- Walnut Creek, CA
- NPI 1013418326
-
- Orthopaedic Surgery Physician
- Oakland, CA
- NPI 1427265198
-
- Surgery Physician
- Salinas, CA
- NPI 1174552855
-
- Surgery Physician
- Berkeley, CA
- NPI 1417084690
-
dba Surgical Professionals Alliance
- Surgical Physician Assistant
- Oakland, CA
- NPI 1336113521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1063486264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 MERCED ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774201",
"telephone_number": "510-454-1000",
"fax_number": "925-215-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 MERCED ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774201",
"telephone_number": "510-454-1000",
"fax_number": "925-215-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHISENANT",
"first_name": "ANN",
"middle_name": "HAZEN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "11627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.