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MS. KERIANNE ERIKA GUSTAFSON PA-C
NPI 1255684106
Physician Assistant in Palo Alto, CA

Active since October 16, 2012
3801 MIRANDA AVE # 112, PALO ALTO, CA 94304(650) 493-5000 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kerianne Erika Gustafson Pa-c NPPES

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

MS. KERIANNE ERIKA GUSTAFSON PA-C (NPI 1255684106) is an individual physician assistant in Palo Alto, California, licensed in California (PA22519) and active in the NPI registry since October 2012. She maintains a secondary practice location in Redwood City.

NPPES Registry Identity

NPI1255684106
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KERIANNE ERIKA GUSTAFSONCredential: PA-C
Location Address3801 MIRANDA AVE # 112Palo Alto, CA 94304-1290
Mailing Address5153 Abbott Ave SMinneapolis, MN 55410-2144 · (628) 252-8937
Phone(650) 493-5000
Sole ProprietorNo
Enumeration DateOctober 16, 2012
Last NPPES UpdateAugust 9, 2021
NPPES CertifiedAugust 9, 2021
✔ NPI 1255684106 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 · PA22519
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.
3801 MIRANDA AVE # 112, Palo Alto, CA 94304
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Secondary Practice Location 1

Location 1247B Lincoln AveRedwood City, CA 94061-1728 · Phone (319) 464-4117

Other Providers at the Same Location NPPES 2

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

DR. PETER JOHANNET M.D.
Plastic Surgery
3801 MIRANDA AVE # 112, PAVAHCS
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MRS. LYNNE MARGARET DEMPSEY RN, MS
Clinical Nurse Specialist (Medical-Surgical)
3801 MIRANDA AVE # 112
PALO ALTO, CA 94304
Santa Clara County (650) 852-3398

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 Kerianne Gustafson's NPI number?

The NPI number for Kerianne Gustafson is 1255684106. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Where is Kerianne Gustafson located?

Kerianne Gustafson practices at 3801 Miranda Ave # 112, Palo Alto, CA 94304. The listed phone number is (650) 493-5000.

What is Kerianne Gustafson'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 Kerianne Gustafson was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.