Active NPI
Sandra A. Hansen, P.A-C
- Physician Assistant
- San Francisco, CA
National Provider Identifier
1104871334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17386
- Practice address
- 2340 Clay St
San Francisco, CA 94115-1932 - Phone
- (415) 600-1016
- NPI assigned
- May 24, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17386 | CA | Primary |
Addresses
Primary practice location
2340 Clay St
San Francisco, CA 94115-1932
Mailing address
2340 Clay St
4TH Floor
San Francisco, CA 94115-1932
Phone (415) 600-1016
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17386 | CA | MD | Physical Therapist |
| PA17386 | CA | MD | Physician Assistant |
Interoperability endpoints
- shansen168136@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104871334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 CLAY ST",
"address_2": "4TH FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941151932",
"telephone_number": "415-600-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 CLAY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941151932",
"telephone_number": "415-600-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "SANDRA",
"middle_name": "A.",
"credential": "P.A-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.