Search › California › 363AM0700X
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
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
390200000X - 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