Search › California › 363AS0400X
Jason Roddick, PA-C
NPI 1164509899 · on the registry since 2006
Practice
- Address
- 25815 Barton Rd Ste 101
Loma Linda, CA 92354 - Phone
- (909) 796-0224
- Fax
- (909) 796-0225
- Organisation at this address
- T.P. Avants Md Inc
Jcm Consulting, Llc
Douglas Soderblom, O.D.
K. D. Macknet, M.D., Inc.
Loma Linda Optometry, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 1165 N Euclid St, Anaheim, CA
- 289 W Huntington Dr Ste 208, Arcadia, CA
- 1620 E 2nd St Ste N, Beaumont, CA
- 573 W Putnam Ave, Porterville, CA
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California