Individual provider · Type 1 NPI

Tiffany Nickerson

Physician Assistant · Atascadero, CA

NPI number 1336693605 Active

Practice location

7512 Morro Rd
Atascadero, CA 93422-4404

Call (805) 792-1400 Map

Fax (805) 792-1485

Mailing address

2050 S Blosser Rd
Santa Maria, CA 93458-7310

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA68366 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1336693605

Tiffany Nickerson's National Provider Identifier is 1336693605, issued on Aug 4, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Atascadero, CA. The record was last updated on Aug 10, 2026.