Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205968377 Individual Practitioner Female Practitioner

Kathleen Gavigan Waffner , PA

Physician Assistant • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

Kathleen Waffner, PA is a registered healthcare professional specializing in Physician Assistant in Berkeley, CA. Practice services are available at 2915 TELEGRAPH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2915 Telegraph Ave
Suite 101

Berkeley, CA 947052060

Telephone 5108434544
Fax 5108433871
Associated Practice Facility / Clinic
🏢 Bayside Medical Group, Inc Facility NPI 1689633240

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
30 Specialists

Practicing in Berkeley, CA (14617 Statewide)

Telehealth Adoption Rate
23.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA19079

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Sabra Daly , PA

Physician Assistant

NPI 1043271448

Physician Assistant

NPI 1700464922

Doctor of Medicine (M.D.)

NPI 1770542326

Doctor of Medicine (M.D.)

NPI 1790314342

Doctor of Medicine (M.D.)

Dr. James Eichel , MD

Family Medicine

NPI 1811956469

Doctor of Medicine (M.D.)

Paula Price , PA

Physician Assistant

NPI 1881655074

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2915 TELEGRAPH AVE, SUITE 101, BERKELEY, CA 947052060 (Tel: 5108434544)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11875 DUBLIN BLVD, SUITE B 125, DUBLIN, CA 945682843 (Tel: 9255872505)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KATHLEEN WAFFNER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA19079 in CA)

🟢
Initial NPI Registration & Enumeration March 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205968377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

11875 Dublin Blvd, Suite B 125

Dublin, CA 945682843

Phone: 9255872505

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.