Individual provider · Type 1 NPI

Halee Marie Booth, PA-C

Physician Assistant · San Diego, CA

NPI number 1386256105 Active

Practice location

3811 Valley Centre Dr
San Diego, CA 92130-3318

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA58265 (CA)
Physician Assistant Primary 363A00000XPA58265 (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 1386256105

Halee Marie Booth, PA-C's National Provider Identifier is 1386256105, issued on Aug 21, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 15, 2025.