Brooke Latner
Brooke Latner is a Physician Assistant in Fairfield, California. Qualified in 2024, 2 years ago. Practices with Northbay Physicians Surgery Center, LLC, a 337-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 2
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
2500 Hilborn RdFairfield, CA 94534-1097
Phone: (707) 646-5599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA65967 (CA) |
|---|
Record details
| NPI number | 1902620156 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 14, 2024 |
| Last updated in NPPES | April 28, 2025 |
| Certification date | April 28, 2025 |
| Mailing address | 2500 Hilborn Rd, Fairfield, CA 94534-1097 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Northbay Physicians Surgery Center, Llc — 337 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |