Nicole Petrosky, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

54320 Issued in CA

Practice address

1716 Redwood Hwy # A025
Corte Madera, CA 94925-1249

Phone

(415) 532-3637

NPI assigned

Aug 7, 2025

Last updated

Aug 7, 2025By 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

• Nicole Palmer Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1659256774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CANTERBURY CT",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949544675",
            "telephone_number": "856-776-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 REDWOOD HWY # A025",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251249",
            "telephone_number": "415-532-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Canterbury Ct",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949544675",
            "country_code": "US",
            "telephone_number": "856-776-9360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "337 Green St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941334103",
            "country_code": "US",
            "telephone_number": "856-776-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETROSKY",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PALMER",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Margaret S. Perlstein, MFT
• Peterman Psychological Services, PC
• Jeremy Peterman
• Katherine Peterman
• Alexis Christine Petrakis, PSY.D.
• Anya Peysakhovich, PA-C
• Kristine L. Pfleiderer, D.M.H.
• Alexandra Phelps, MA
• Physiotherapy Associates, Inc. (Select Physical Therapy)
• Jonathan Pofsky, MFT

• Physician Assistant in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.