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

Emma Rose Holbrook

Individual provider Physician Assistant · NPI 1255087102

Emma Rose Holbrook is a Physician Assistant in LA Mesa, California. Qualified in 2022, 4 years ago. Practices with Sanjay S Rao MD a Medical Corporation Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022

Practice location Address checks out

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone: (619) 740-4800
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA62629 (CA)

Record details

NPI number1255087102
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 1, 2022
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address5555 Grossmont Center Dr, La Mesa, CA 91942-3019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sanjay S Rao Md A Medical Corporation Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Mesa