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

Anick Bazile, MMS, PA-C

Individual provider Medical Physician Assistant · NPI 1336783562

Anick Bazile, MMS, PA-C is a Physician Assistant in South San Francisco, California. Qualified in 2019, 7 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

192 Beacon St
South San Francisco, CA 94080-6913
Phone: (650) 589-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 950 Nw 20th Street, Miami, FL 33127 — (786) 326-0642
  • 9280 Sw 123rd Ct Apt 207, Miami, FL 33186-4134 — (786) 326-0642

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9112564 (FL)

Record details

NPI number1336783562
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2019
Last updated in NPPESMarch 15, 2020
Certification dateMarch 15, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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