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

Individual provider Medical Physician Assistant · NPI 1407228208

Dale Thomas Risenhoover, PA-C is a Medical Physician Assistant in Sacramento, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
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

1500 21st St
Sacramento, CA 95811-5216
Phone: (916) 443-3299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA52935 (CA)

Record details

NPI number1407228208
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2015
Last updated in NPPESJanuary 3, 2022

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