Provider Demographics
NPI:1245781335
Name:HASHIM, VANESSA MICHELLE (MSPA)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:MICHELLE
Last Name:HASHIM
Suffix:
Gender:F
Credentials:MSPA
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:MICHELLE
Other - Last Name:BINDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPA
Mailing Address - Street 1:1 EMBARCADERO CTR STE 1900
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3723
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:
Practice Address - Street 1:2 W PORTAL AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94127-1304
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110-005566363A00000X
CAPA55613363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1245781335OtherCORVEL
VA1245781335OtherUSA MANAGED CARE
VA1245781335OtherTRICARE/CHAMPUS
VA1245781335OtherOPTIMA HEALTH
VA1245781335OtherMULTIPLAN
VA1245781335OtherHUMANA
VA1245781335Medicaid
NC1245781335Medicaid
VA1245781335Medicaid