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

Bailey Bangerter, PA-C

Individual provider Physician Assistant · NPI 1336618040

Bailey Bangerter, PA-C is a Physician Assistant in Vallejo, California. Qualified in 2018, 8 years ago. Practices with La Clinica De La Raza Inc, a 131-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
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

220 Hospital Dr # A-233
Vallejo, CA 94589-2517
Phone: (707) 641-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60900605 (WA)

Record details

NPI number1336618040
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 26, 2018
Last updated in NPPESJune 29, 2021
Certification dateJune 8, 2021
Mailing address5621 El Dorado Ave Apt 2, El Cerrito, CA 94530-3436

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice La Clinica De La Raza Inc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vallejo