Provider Demographics
NPI:1659682136
Name:SUTHERLAND, KATHERINE CALAFIA (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:CALAFIA
Last Name:SUTHERLAND
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:300 PASTEUR DR
Mailing Address - Street 2:ROOM H0101
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-725-6551
Mailing Address - Fax:650-736-0220
Practice Address - Street 1:900 BLAKE WILBUR DRIVE
Practice Address - Street 2:ROOM 1080
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305
Practice Address - Country:US
Practice Address - Phone:650-421-3419
Practice Address - Fax:650-725-6937
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2014-07-11
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Provider Licenses
StateLicense IDTaxonomies
CAPA20873363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant