Healthcare Provider Details

I. General information

NPI: 1194116830
Provider Name (Legal Business Name): LAUREN BARTHEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2015
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 CALIFORNIA ST
SAN FRANCISCO CA
94115-2681
US

IV. Provider business mailing address

2410 CALIFORNIA ST
SAN FRANCISCO CA
94115-2681
US

V. Phone/Fax

Practice location:
  • Phone: 415-529-4050
  • Fax: 415-252-7176
Mailing address:
  • Phone: 415-529-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA8702
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number52244
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: