Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanullah Zadran

Individual provider Medical Physician Assistant · NPI 1720848294

Amanullah Zadran is a Physician Assistant in Antioch, California. Qualified in 2024, 2 years ago. Registered with an NPI since 2024.

Years since qualifying
2
In the registry since
2024
Specialties on file
3

Practice location Address checks out

5173 Lone Tree Way
Antioch, CA 94531-8689
Phone: (925) 685-4224
Fax: (925) 685-6997
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Medical Physician Assistant Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1720848294
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2024
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025
Mailing address4501 Sand Creek Rd, Antioch, CA 94531-8687

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Antioch