Provider Demographics
NPI:1558085647
Name:NG, PATRICIA KA (PA-C)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:KA
Last Name:NG
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 1:2262 CAMINO RAMON
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1353
Mailing Address - Country:US
Mailing Address - Phone:925-328-0255
Mailing Address - Fax:
Practice Address - Street 1:2262 CAMINO RAMON
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1353
Practice Address - Country:US
Practice Address - Phone:925-328-0255
Practice Address - Fax:925-328-0257
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant