Ethan Jefferson, PA-C

NPI 1275358806 · on the registry since 2024

Practice

Address: 280 Sierra College Dr Ste 207
Grass Valley, CA 95945
Phone: (530) 477-7390
Fax: (530) 477-7389
Organisation at this address: Md Partners Ipa
Kuldip Gill M D P C
Grass Valley Extended Care Inc
Grass Valley Hope Medical Group
Dignity Health Medical Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 46

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-12-03

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