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

TaxonomyCodeLicense
Physician Assistant 363A00000XPA18638 (CA)
Surgical Physician Assistant Primary 363AS0400XPA18638 (CA)

Surgical Physician Assistant: Definition to come...

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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.