Provider Demographics
NPI:1003653254
Name:LINDSAY, PATRICIA (PA-C)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:LINDSAY
Suffix:
Gender:
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 1:16 PARTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-1598
Mailing Address - Country:US
Mailing Address - Phone:510-508-6795
Mailing Address - Fax:
Practice Address - Street 1:45 CASTRO ST STE 410
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1027
Practice Address - Country:US
Practice Address - Phone:415-565-6884
Practice Address - Fax:415-872-6723
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA65846363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical