JASON PACKER P.A.-C D.C. NPI 1538261425

NPI Information

NPI: 1538261425
Provider Name: JASON PACKER, P.A.-C, D.C.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
151 N SUNRISE AVE
SUITE 1005
ROSEVILLE, CA
ZIP 95661
Phone: (916) 782-1217
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Jason Packer, P.A.-C, D.C. is a surgical physician assistant in Roseville, CA. Jason Packer, P.A.-C, D.C. NPI is 1538261425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

151 N SUNRISE AVE
SUITE 1005
ROSEVILLE, CA
ZIP 95661-924
Phone: (916) 782-1217
Fax: (916) 782-7630

The NPI 1538261425 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/2/2006 and was last updated on 3/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		DC29082	CALIFORNIA	No
2	363AS0400X	Physician Assistant	Surgical	23146	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DC0290820	OTHER	CALIFORNIA	BLUE SHIELD IDENTIF. NUMB
2	V07761	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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