Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Metamorph, Inc

Organization Physician Assistant · NPI 1902106982

Metamorph, Inc is a Physician Assistant in San Jose, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7725 Kilmarnok Dr
San Jose, CA 95135-2140
Phone: (408) 852-0703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 17859 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 17859 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 17859 (CA)

Record details

NPI number1902106982
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phyllis Borner — President · (408) 852-0703
NPI enumeratedOctober 25, 2010
Last updated in NPPESOctober 25, 2010
Mailing address7725 Kilmarnok Dr, San Jose, CA 95135-2140

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