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

Ethan Shakeel Jefferson, PA-C

Individual provider Family Medicine Physician · NPI 1275358806

Ethan Shakeel Jefferson, PA-C is a Physician Assistant in Grass Valley, California. Graduated from University of California, Davis School of Medicine in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

280 Sierra College Dr Ste 207
Grass Valley, CA 95945-5769
Phone: (530) 477-7390
Fax: (530) 477-7389
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 67370 (CA)

Record details

NPI number1275358806
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 19, 2024
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Grass Valley