SearchCaliforniaMedical Physician Assistant

Takara Dickson, PHYSICIAN ASSISTANT

NPI 1184249146 · on the registry since 2020

Practice

Address
1860 Pennsylvania Ave Ca
Ste 110
Fairfield, CA 94533
Phone
(707) 646-4414

Additional practice sites

  • 375 S Chipeta Way, Salt Lake City, UT

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Also registered as
Physician Assistant
Student in an Organized Health Care Education/Training Program
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-25

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