Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kerianne Erika Gustafson, PA-C

Individual provider Physician Assistant · NPI 1255684106

MS. Kerianne Erika Gustafson, PA-C is a Physician Assistant in Palo Alto, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2012
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

3801 Miranda Ave # 112
Palo Alto, CA 94304-1290
Phone: (650) 493-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 247b Lincoln Ave, Redwood City, CA 94061-1728 — (319) 464-4117

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA22519 (CA)

Record details

NPI number1255684106
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2012
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021

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