Healthcare Provider Details

I. General information

NPI: 1710783766
Provider Name (Legal Business Name): ABHINAASI SINGH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 N SAN MATEO DR FL 2
SAN MATEO CA
94401-2778
US

IV. Provider business mailing address

136 N SAN MATEO DR FL 2
SAN MATEO CA
94401-2778
US

V. Phone/Fax

Practice location:
  • Phone: 650-348-1242
  • Fax:
Mailing address:
  • Phone: 650-348-1242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA68070
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0110010878
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: