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

Ferry Ferdianto

Individual provider Medical Physician Assistant · NPI 1740606920

Ferry Ferdianto is a Medical Physician Assistant in San Francisco, California. Licensed in California and New York. Registered with an NPI since 2014.

Licensed in
CA, NY
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1500 Owens St
San Francisco, CA 94158-2334
Phone: (415) 885-3668
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA55394 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 017304 (NY)

Record details

NPI number1740606920
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2014
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023

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