Metamorph, Inc.
NPI 1902106982ActiveOrganization· Physician Assistant· San Jose, CA
Physician Assistant in San Jose, California, registered in NPPES in October 2010. The authorized official on file is Phyllis N. Borner, President.
Overview
| NPI | 1902106982 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2010 |
| Last updated in NPPES | Oct 25, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 17859 | CA |
| Physician Assistant, Medical | 363AM0700X | 17859 | CA |
| Physician Assistant, Surgical | 363AS0400X | 17859 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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