KATHLEEN GAVIGAN WAFFNER PA
NPI 1205968377
Physician Assistant in Berkeley, CA

Active since March 12, 2007
2915 TELEGRAPH AVE, SUITE 101, BERKELEY, CA 94705(510) 843-4544(510) 843-3871 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Gavigan Waffner Pa NPPES

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

KATHLEEN GAVIGAN WAFFNER PA (NPI 1205968377) is an individual physician assistant in Berkeley, California, licensed in California (PA19079) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1205968377
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN GAVIGAN WAFFNERCredential: PA
Location Address2915 TELEGRAPH AVE, SUITE 101Berkeley, CA 94705-2060
Mailing Address11875 Dublin Blvd, Suite B 125Dublin, CA 94568-2843 · (925) 587-2505 · Fax (925) 587-2511
Fax(510) 843-3871
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1205968377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA19079
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2915 TELEGRAPH AVE, Berkeley, CA 94705

Other Providers at the Same Location NPPES 10

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

Physician Assistant
2915 TELEGRAPH AVE, SUITE 101
BERKELEY, CA 94705
Obstetrics & Gynecology
2915 TELEGRAPH AVE, #200
BERKELEY, CA 94705
Obstetrics & Gynecology
2915 TELEGRAPH AVE
BERKELEY, CA 94705
Obstetrics & Gynecology
2915 TELEGRAPH AVE, SUITE 200
BERKELEY, CA 94705
Pediatrics
2915 TELEGRAPH AVE, SUITE 304
BERKELEY, CA 94705
Pediatrics
2915 TELEGRAPH AVE, SUITE 101
BERKELEY, CA 94705
Obstetrics & Gynecology
2915 TELEGRAPH AVE, SUITE 200
BERKELEY, CA 94705
Family Medicine
2915 TELEGRAPH AVE, SUITE 101
BERKELEY, CA 94705

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 Kathleen Waffner's NPI number?

The NPI number for Kathleen Waffner is 1205968377. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Kathleen Waffner located?

Kathleen Waffner practices at 2915 Telegraph Ave Suite 101, Berkeley, CA 94705. The listed phone number is (510) 843-4544.

What is Kathleen Waffner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Waffner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.