Individual provider · Type 1 NPI
Jason L. Roddick, PA-C
Surgical Physician Assistant · Loma Linda, CA
NPI number
1164509899
Active
Practice location
25815 Barton Rd Ste 101
Loma Linda, CA 92354-3894
Fax (909) 796-0225
Mailing address
25815 Barton Rd, Ste 101
Loma Linda, CA 92354-3894
Other practice locations
- 1165 N Euclid St, Anaheim, CA 92801-1938 · (714) 991-9990
- 289 W Huntington Dr Ste 208, Arcadia, CA 91007-3495 · (626) 446-8809
- 1620 E 2nd St Ste N, Beaumont, CA 92223-3172 · (951) 845-6500
- 573 W Putnam Ave, Porterville, CA 93257-3270 · (559) 781-1812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA18638 (CA) |
| Surgical Physician Assistant Primary | 363AS0400X | PA18638 (CA) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Loma Linda
- Peter Paul Peng, PA-CSurgical Physician Assistant Loma Linda, CA NPI 1497421747
- O. Howard Shattuck Jr., P.A.Surgical Physician Assistant Loma Linda, CA NPI 1568569598
- Mark Douglas Grove, PA-CSurgical Physician Assistant Loma Linda, CA NPI 1679306153
- Andrew FelixSurgical Physician Assistant Loma Linda, CA NPI 1851179154
- Leigh Ann Ballou, PA-CSurgical Physician Assistant Loma Linda, CA NPI 1891794657
About NPI 1164509899
Jason L. Roddick, PA-C's National Provider Identifier is 1164509899, issued on Nov 1, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Loma Linda, CA. The record was last updated on Dec 9, 2020.