Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Allesa Rachelle Bumgardner, PA-C

Individual provider Physician Assistant · NPI 1376043133

Allesa Rachelle Bumgardner, PA-C is a Physician Assistant in Whittier, California. Qualified in 2017, 9 years ago. Practices with Innovative Dermatology Alliance Ca, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12401 Washington Blvd Ste 400
Whittier, CA 90602-1006
Phone: (562) 698-0811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1376043133
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 19, 2018
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Innovative Dermatology Alliance Ca — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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