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MR. GEORGE MAXWELL CAUDLE PA-C NPI 1699431312


NPI Information

NPI: 1699431312
Provider Name: MR. GEORGE MAXWELL CAUDLE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2315 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817
Phone: (916) 734-2011
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MR. George Maxwell Caudle, PA-C is a surgical physician assistant in Sacramento, CA with 3 years of experience. MR. George Maxwell Caudle, PA-C NPI is 1699431312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduation Year:2021

The provider's business location address is:

2315 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817-581
Phone: (916) 734-2011

The NPI 1699431312 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 11/17/2021 and was last updated on 11/4/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical60618CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.