Provider Demographics
NPI:1881736155
Name:MIESES, LINDA MELODEE (PA C)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MELODEE
Last Name:MIESES
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 1:100 BAY VIEW DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-2243
Mailing Address - Country:US
Mailing Address - Phone:650-386-0085
Mailing Address - Fax:650-651-1562
Practice Address - Street 1:100 BAY VIEW DR STE 100
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-2243
Practice Address - Country:US
Practice Address - Phone:650-386-0085
Practice Address - Fax:650-651-1562
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA 18784363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical