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

Individual provider Physician Assistant · NPI 1932350790

Lucius K. Upshaw, PA-C is a Physician Assistant in San Mateo, California. Qualified in 2008, 18 years ago. Practices with County of San Mateo, a 316-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2008
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

50 S San Mateo Dr Ste 440
San Mateo, CA 94401-3857
Phone: (650) 558-0504
Fax: (650) 558-0323
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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 PA19952 (CA)

Record details

NPI number1932350790
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 9, 2008
Last updated in NPPESOctober 9, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice County Of San Mateo — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in San Mateo