Individual provider · Type 1 NPI

John Clayton Zimbardo

Physician Assistant · Rapid City, SD

NPI number 1790332245 Active

Practice location

4141 5th St
Rapid City, SD 57701-6021

Fax (605) 341-7062

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1308 (SD)
Surgical Physician Assistant 363AS0400X1308 (SD)

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 1790332245

John Clayton Zimbardo's National Provider Identifier is 1790332245, issued on Aug 20, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rapid City, SD. The record was last updated on Nov 2, 2026.