Individual provider · Type 1 NPI
Casey Mae Pelletier, PA-C
Surgical Physician Assistant · Vacaville, CA
NPI number
1053070144
Active
Practice location
1 Quality Dr
Vacaville, CA 95688-9494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | C5-0011682 (DE) |
| Surgical Physician Assistant Primary | 363AS0400X | PA66268 (CA) |
| Physician Assistant | 363A00000X | C0008278 (MD) |
Surgical Physician Assistant: Definition to come...
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About NPI 1053070144
Casey Mae Pelletier, PA-C's National Provider Identifier is 1053070144, issued on Dec 15, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Vacaville, CA. The record was last updated on Jun 2, 2026.