Healthcare Provider Details

I. General information

NPI: 1992115950
Provider Name (Legal Business Name): DAVID BUCHHOLZ PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2014
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE STE 501
SAN FRANCISCO CA
94143-2202
US

IV. Provider business mailing address

209 MARTIN LUTHER KING JR. WAY TACOMA MEDICAL CENTER, CARDIOLOGY
TACOMA WA
98405
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-9088
  • Fax:
Mailing address:
  • Phone: 603-218-9133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA1890
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA60450043
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number58476
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: