Healthcare Provider Details

I. General information

NPI: 1699524330
Provider Name (Legal Business Name): ALISON SCHIELE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2907 EL CAMINO REAL
REDWOOD CITY CA
94061-4003
US

IV. Provider business mailing address

1138 JUNIPERO AVE
REDWOOD CITY CA
94061-2119
US

V. Phone/Fax

Practice location:
  • Phone: 650-503-7810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA68845
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: