Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ashley S Peterson, PA-C

Individual provider Physician Assistant · NPI 1104455773

Ashley S Peterson, PA-C is a Physician Assistant in Burlingame, California. Qualified in 2020, 6 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone: (650) 652-8787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Shrader St Ste 650, San Francisco, CA 94117-1036 — (415) 221-0665

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 59015 (CA)

Record details

NPI number1104455773
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 6, 2020
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Burlingame