Healthcare Provider Details

I. General information

NPI: 1275884355
Provider Name (Legal Business Name): TRINA MAUREEN SHEEDY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2012
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 SUTTER ST FL 2 BOX 1703
SAN FRANCISCO CA
94115-3006
US

IV. Provider business mailing address

2340 CLAY ST FL 5
SAN FRANCISCO CA
94115-1932
US

V. Phone/Fax

Practice location:
  • Phone: 415-361-7180
  • Fax: 415-885-3582
Mailing address:
  • Phone: 415-361-7180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA22812
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: