Individual provider · Type 1 NPI

Nicholas Peter Fedor, PA-C

Physician Assistant · Torrance, CA

NPI number 1699103804 Active

Practice location

1907 Border Ave
Torrance, CA 90501-3606

Fax (833) 907-2235

Mailing address

PO Box 211699
Eagan, MN 55121-3699

Other practice locations

  • PO Box 211699, Eagan, MN 55121-3699 · (866) 849-0692
  • 10820 Parkside Dr, Emergency Dept., Knoxville, TN 37934-1956 · (865) 988-3666

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA18159 (TX)
Physician Assistant 363A00000X0110009963 (VA)
Physician Assistant 363A00000XPA.0008506 (CO)
Physician Assistant Primary 363A00000X2427
Physician Assistant 363A00000X2427 (TN)
Physician Assistant 363A00000X10320 (AZ)
Physician Assistant 363A00000X0010-14219 (NC)

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…

22 other providers at this address

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About NPI 1699103804

Nicholas Peter Fedor, PA-C's National Provider Identifier is 1699103804, issued on Oct 24, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Torrance, CA. The record was last updated on Aug 12, 2026.