Bhavsar, Jessica Mona

Bhavsar, Jessica Mona is an individual health care provider with primary practice located at 2 Embarcadero Ctr Lbby Level , San Francisco CA 94111-3823. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bhavsar, Jessica Mona can be contacted via phone (415) 578-3100.

Contact Information

Primary practice address
2 Embarcadero Ctr Lbby Level San Francisco CA 94111-3823
Phone: (415) 578-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60636778 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0004962 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60636778 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 57708 California

Profile Details

NPI number 1275877599
LBN Legal business name Bhavsar, Jessica Mona
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2012
Last updated Oct 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275877599 NPPES
Washington Other G000188100 GROUP PTAN(K)
Washington MEDICAID 2061716 GROUP PTAN(K)

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