Healthcare Provider Details

I. General information

NPI: 1568206837
Provider Name (Legal Business Name): KATHERINE F STEFFENS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 HYDE ST STE 419
SAN FRANCISCO CA
94109-4846
US

IV. Provider business mailing address

909 HYDE ST STE 419 UNIT 304
SAN FRANCISCO CA
94109-4846
US

V. Phone/Fax

Practice location:
  • Phone: 415-678-5887
  • Fax: 415-829-8897
Mailing address:
  • Phone: 415-678-5887
  • Fax: 415-829-8897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085-010580
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number66900
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: