Provider Demographics
NPI:1609085760
Name:HAUSER, KAREN A (PA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:HAUSER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 N CALIFORNIA BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-3742
Mailing Address - Country:US
Mailing Address - Phone:925-225-5837
Mailing Address - Fax:925-482-2835
Practice Address - Street 1:1990 N. CALFORNIA BLVD.
Practice Address - Street 2:SUITE 400
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-7249
Practice Address - Country:US
Practice Address - Phone:925-225-5837
Practice Address - Fax:925-482-2835
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3202363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ105125Medicare ID - Type Unspecified