Provider Demographics
NPI:1275762445
Name:MCBRIDE, PATRICIA LOUISE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LOUISE
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 EL CAMINO REAL
Mailing Address - Street 2:COWELL HEALTH CENTER, SANTA CLARA UNIVERSITY
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95053
Mailing Address - Country:US
Mailing Address - Phone:408-554-4501
Mailing Address - Fax:408-554-2376
Practice Address - Street 1:COWELL HEALTH CENTER SANTA CLARA UNIVERSITY
Practice Address - Street 2:500 EL CAMINO REAL
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95053-0001
Practice Address - Country:US
Practice Address - Phone:408-554-4501
Practice Address - Fax:408-554-2376
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10746363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical