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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON L RODDICK, PA-C

Active

JASON L RODDICK, PA-C is a Surgical Physician Assistant healthcare provider located in LOMA LINDA, California. NPI 1164509899 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · LOMA LINDA, CA

Registration Details

NPI Number
1164509899
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2006 (19.780326769656 yrs)
Last Updated
Dec 9, 2020
Licenses
PA18638 (CA)
PA18638 (CA)

Practice Information

Address
25815 BARTON RD STE 101
LOMA LINDA, CA, 923543894
Browse CA providers · Browse ZIP 92354
Phone
9097960224
Fax
9097960225
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in LOMA LINDA, CA

Name Credential NPI
LEIGH ANN BALLOU PA-C 1891794657
O. HOWARD SHATTUCK JR. P.A. 1568569598
ANDREA RIDA 1629541354
PETER PAUL PENG PA-C 1497421747
ANDREW FELIX 1851179154
MR. MARK DOUGLAS GROVE PA-C 1679306153
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.