MS. SALLY ANN HOLLAND P.A.-C - NPI 1104132836 - Physician Assistant in San Francisco, CA

Q: What is Sally Holland's NPI number?

The NPI number for Sally Holland is 1104132836. It was assigned to this individual provider in the NPPES registry on August 18, 2010.

Q: What is Sally Holland's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Sally Holland was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Ms. Sally Ann Holland P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SALLY ANN HOLLAND P.A.-C (NPI 1104132836) is an individual medical provider in San Francisco, California, licensed in California (57397) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Palo Alto, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1104132836

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. SALLY ANN HOLLANDCredential: P.A.-C

Location Address110 SUTTER ST FL 6San Francisco, CA 94104-4020

Mailing Address110 Sutter St Fl 6San Francisco, CA 94104-4020 · (415) 291-0480

Phone(415) 291-0480

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 18, 2010

Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration

NPPES CertifiedJuly 18, 2023

✔ NPI 1104132836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 57397

110 SUTTER ST FL 6, San Francisco, CA 94104

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Secondary Practice Location 1

Location 1590 Forest AvePalo Alto, CA 94301-2611 · Phone (650) 288-4080

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Sally Ann Holland P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547258626

PECOS Enrollment IDI20040505001664

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

18 services12 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ERIC JAMES ACAY FNP

Nurse Practitioner (Family)