Active NPI
Christy M Hollis, PA-C
- Physician Assistant
- San Francisco, CA
National Provider Identifier
1215176227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20207
- Practice address
- 3259 Pierce St
San Francisco, CA 94123-2705 - Phone
- (415) 965-7942
- Fax
- (415) 965-7938
- NPI assigned
- Feb 13, 2009
- 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 | PA20207 | CA | Primary |
Addresses
Primary practice location
3259 Pierce St
San Francisco, CA 94123-2705
Mailing address
3400 Data Drive
Rancho Cordova, CA 95670-7956
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 |
|---|---|---|---|
| PA20207 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1215176227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DRIVE",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3259 PIERCE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941232705",
"telephone_number": "415-965-7942",
"fax_number": "415-965-7938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIS",
"first_name": "CHRISTY",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-13",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20207",
"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 Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.