Individual provider · Type 1 NPI

Nicole Dominique Roderos, PA-C

Physician Assistant · Palm Springs, CA

NPI number 1437946381 Active

Practice location

1180 N Indian Canyon Dr Ste W201
Palm Springs, CA 92262-4876

Call (760) 416-4575 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Physician Assistant Primary 363A00000XPA66480 (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 1437946381

Nicole Dominique Roderos, PA-C's National Provider Identifier is 1437946381, issued on Apr 23, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Palm Springs, CA. The record was last updated on Aug 18, 2025.