Healthcare Provider Details

I. General information

NPI: 1659351625
Provider Name (Legal Business Name): DANA OSIPOWER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANA VANARTSDALEN PA-C

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 03/15/2025
Certification Date: 03/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 EMBARCADERO CTR STE 1900
SAN FRANCISCO CA
94111-3723
US

IV. Provider business mailing address

129 W 29TH ST FL 10
NEW YORK NY
10001-5105
US

V. Phone/Fax

Practice location:
  • Phone: 888-663-6331
  • Fax: 415-252-7176
Mailing address:
  • Phone: 415-658-6791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA20899
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA4897
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA1175
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1065016
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberAMD-451
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: