Bogdan Ristic
Physician Assistant · Hercules, CA
NPI number
1609463538
Practice location
139 Fremont CtHercules, CA 94547-1141
- Phone
- (510) 318-1537
NPI record
- NPI
- 1609463538
- Entity type
- Individual (Type 1)
- Enumeration date
- December 26, 2020
- Last updated
- October 18, 2021
- Certified
- October 18, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
— | — |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
About Bogdan Ristic
Bogdan Ristic is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 139 Fremont Ct, Hercules, CA 94547-1141. The NPI number 1609463538 was assigned on December 26, 2020 and the record was last updated on October 18, 2021.
Frequently asked questions
What is the NPI number of Bogdan Ristic?
The NPI number is 1609463538.
What is the phone number of Bogdan Ristic?
The phone number listed for the practice location is (510) 318-1537.
Where is Bogdan Ristic located?
139 Fremont Ct, Hercules, CA 94547-1141.
What is the taxonomy code for Bogdan Ristic?
The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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