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

Nicole M Newhauser, PA

Individual provider Physician Assistant · NPI 1124190004

Nicole M Newhauser, PA is a Physician Assistant in San Rafael, California. Qualified in 2001, 25 years ago. Practices with University of California San Francisco, a 1,793-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
Specialties on file
2
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

4000 Civic Center Dr Ste 209
San Rafael, CA 94903-5233
Phone: (415) 925-8963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 250 Bon Air Rd, Greenbrae, CA 94904-1702 — (415) 925-7200

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA16057 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA16057 (CA)

Record details

NPI number1124190004
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice University Of California San Francisco — 1793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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