Provider Demographics
NPI:1902215726
Name:PIZANO, JESSICA LORENA (PA-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LORENA
Last Name:PIZANO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2350 W. EL CAMINO REAL
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-6203
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2577 SAMARITAN DRIVE
Practice Address - Street 2:STE 810
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4103
Practice Address - Country:US
Practice Address - Phone:408-358-0133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA51809363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical