Individual provider · Type 1 NPI
James M. Mabry, PA-C
Surgical Physician Assistant · Grass Valley, CA
NPI number
1093064107
Active
Practice location
360 Sierra College Dr Ste 120
Grass Valley, CA 95945-5088
Fax (530) 242-4846
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA22458 (CA) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1093064107
James M. Mabry, PA-C's National Provider Identifier is 1093064107, issued on Sep 5, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Grass Valley, CA. The record was last updated on May 6, 2026.