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AMITY HALL PA
NPI 1164602793
Physician Assistant - Medical in Stanford, CA

Active since November 12, 2007
875 BLAKE WILBUR, STANFORD, CA 94305(650) 736-2066(650) 736-0220 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amity Hall Pa NPPES

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

AMITY HALL PA (NPI 1164602793) is an individual medical provider in Stanford, California, licensed in California (PA19463) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1164602793
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMITY HALLCredential: PA
Location Address875 BLAKE WILBURStanford, CA 94305-5820
Mailing Address875 Blake Wilbur DriveStanford, CA 94305-5820 · (650) 736-2066 · Fax (650) 736-0220
Phone(650) 736-2066
Fax(650) 736-0220
Sole ProprietorNo
Enumeration DateNovember 12, 2007
Last NPPES UpdateApril 15, 2010
✔ NPI 1164602793 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 · PA19463
875 BLAKE WILBUR, Stanford, CA 94305
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amity Hall's NPI number?

The NPI number for Amity Hall is 1164602793. It was assigned to this individual provider in the NPPES registry on November 12, 2007.

Where is Amity Hall located?

Amity Hall practices at 875 Blake Wilbur, Stanford, CA 94305. The listed phone number is (650) 736-2066.

What is Amity Hall's specialty?

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

When was this NPI record last updated?

The NPPES record for Amity Hall was last updated on April 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.