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

Charis Fasoldt, PA

Individual provider Physician Assistant · NPI 1447943667

Charis Fasoldt, PA is a Physician Assistant in San Francisco, California. Qualified in 2023, 3 years ago. Registered with an NPI since 2023.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

77 Van Ness Ave Apt 302
San Francisco, CA 94102-6042
Phone: (415) 379-9015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1447943667
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 1, 2023
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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