Provider Demographics
NPI:1952413726
Name:SAINT, MEAGHAN TARA (PA-C)
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:TARA
Last Name:SAINT
Suffix:
Gender:F
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 1:978 2ND ST
Mailing Address - Street 2:STE 220
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4546
Mailing Address - Country:US
Mailing Address - Phone:510-375-2526
Mailing Address - Fax:925-962-6984
Practice Address - Street 1:978 2ND ST STE 220
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4546
Practice Address - Country:US
Practice Address - Phone:510-375-2526
Practice Address - Fax:925-962-6984
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA16543363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical