Individual provider · Type 1 NPI

Ryan Tait Vickers, PA-C, MMS

Physician Assistant · Simi Valley, CA

NPI number 1700264777 Active

Practice location

2975 Sycamore Dr
Simi Valley, CA 93065-1201

Call (805) 955-6000 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X52475 (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 1700264777

Ryan Tait Vickers, PA-C, MMS's National Provider Identifier is 1700264777, issued on May 11, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Simi Valley, CA. The record was last updated on May 11, 2015.