Agnes Warhover, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18641 Issued in CA

Practice address

1335 Stanford Ave
Emeryville, CA 94608-2536

Phone

(510) 647-5101

Fax

(510) 647-5105

NPI assigned

Aug 16, 2007

Last updated

Dec 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Agnes Warhover Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD (past)
• Sutter North Medical Foundation

  dba Sutter North Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)
• Workit Health PC

  • General Practice Physician
  • Walnut Creek, CA
  • NPI 1245748201
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1346432929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 STANFORD AVE",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082536",
            "telephone_number": "510-647-5101",
            "fax_number": "510-647-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 STANFORD AVE",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082536",
            "telephone_number": "510-647-5101",
            "fax_number": "510-647-5105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3609 Mission Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956082955",
            "country_code": "US",
            "telephone_number": "530-650-8333",
            "fax_number": "530-850-8388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 W Court St Ste D",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "CA",
            "postal_code": "956952986",
            "country_code": "US",
            "telephone_number": "530-650-8333",
            "fax_number": "530-650-8388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARHOVER",
        "first_name": "AGNES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2023-12-04",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNES",
            "last_name": "WARHOVER",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kim P Vu, PHARM.D.
• Osman Wagilla
• Andrea Schuiling Waldman, PA-C
• Ashley Lyn Waldman, PA-C
• Thomas Ryan Wallin, M.D.
• Erinanne Warman
• Essence Washington
• Amir Wasserman
• Watermark Bayside, LLC
• Imani D Webster

• Physician Assistant in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.