1. Home
  2. Directory
  3. California
  4. San Francisco
  5. Physician Assistant
  6. NPI Profile

BEVERLY GAYLE RENICK FNP PA-C
NPI 1245218932
Physician Assistant in San Francisco, CA

Active since January 04, 2006
450 STANYAN, 2ND FLOOR USF STUDENT MEDICAL CLINIC ST MARYS MEDICAL C, SAN FRANCISCO, CA 94117(415) 750-4980(415) 750-8155 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beverly Gayle Renick Fnp Pa-c NPPES

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

BEVERLY GAYLE RENICK FNP PA-C (NPI 1245218932) is an individual physician assistant in San Francisco, California, licensed in California (PA13272) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1245218932
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBEVERLY GAYLE RENICKCredential: FNP PA-C
Location Address450 STANYAN, 2ND FLOOR USF STUDENT MEDICAL CLINIC ST MARYS MEDICAL CSan Francisco, CA 94117-1079
Mailing Address779 Port Walk PlaceRedwood City, CA 94065 · (650) 622-9943
Phone(415) 750-4980
Fax(415) 750-8155
Sole ProprietorNo
Enumeration DateJanuary 4, 2006
Last NPPES UpdateSeptember 23, 2013
✔ NPI 1245218932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA13272
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 272543 (CA)
450 STANYAN, San Francisco, CA 94117
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINQ48351CA
Other0PA132720CA · Ppin

Other Providers at the Same Location NPPES

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

DR. RUTH OWEN MARLIN MD
Internal Medicine
450 STANYAN, 6TH FLOOR EAST
SAN FRANCISCO, CA 94117
San Francisco County (415) 750-5660

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 Beverly Renick's NPI number?

The NPI number for Beverly Renick is 1245218932. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Beverly Renick located?

Beverly Renick practices at 450 Stanyan 2nd Floor Usf Student Medical Clinic St Marys Medical C, San Francisco, CA 94117. The listed phone number is (415) 750-4980.

What is Beverly Renick'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 Beverly Renick was last updated on September 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.