IndividualActive
Anya Peysakhovich, PA-C
NPI 1215423363 · Surgical Physician Assistant · Corte Madera, CA
Provider details
- NPI number
- 1215423363
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 58169 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
21 Tamal Vista Blvd Ste 103
Corte Madera, CA 94925-1133
Phone: (415) 927-7660
Fax: (415) 927-7663
Approximate (ZIP-level) locationGet directions
Mailing address
21 Tamal Vista Blvd Ste 103
Corte Madera, CA 94925-1133
Registry dates
- Enumerated
- 2018-07-02
- Last updated
- 2020-09-15
- Certified
- 2020-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.