Individual provider · Type 1 NPI

Peggy Jane Deforest, P.A.

Physician Assistant · Shasta Lake, CA

NPI number 1447460522 Active

Practice location

5145 Shasta Dam Blvd
Shasta Lake, CA 96019-9403

Mailing address

5734 Old Barn Way
Redding, CA 96001-4649

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA 10739 (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 1447460522

Peggy Jane Deforest, P.A.'s National Provider Identifier is 1447460522, issued on May 23, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shasta Lake, CA. The record was last updated on Jul 8, 2007.