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

Individual provider Physician Assistant · NPI 1407593577

Eric Amirkhani, PA-C is a Physician Assistant in Santa Rosa, California. Qualified in 2021, 5 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
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

1162 Montgomery Dr Ste 300
Santa Rosa, CA 95405-4802
Phone: (707) 890-4250
Fax: (707) 763-7040
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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 61050 (CA)

Record details

NPI number1407593577
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 19, 2022
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address1162 Montgomery Dr Ste 300, Santa Rosa, CA 95405-4802

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Santa Rosa