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

Individual provider Physician Assistant · NPI 1609172758

William Cody Black, PA-C is a Physician Assistant in San Francisco, California. Qualified in 2010, 16 years ago. Practices with American Family Care, LLC, a 179-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
16
Licensed in
AZ, CA
In the registry since
2011
Specialties on file
2
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

170 Columbus Ave Ste 110
San Francisco, CA 94133-5160
Phone: (415) 965-8050
Fax: (415) 965-7678
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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 55756 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 5953 (AZ)

Record details

NPI number1609172758
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 8, 2011
Last updated in NPPESNovember 29, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice American Family Care, Llc — 179 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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