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

Individual provider Surgical Physician Assistant · NPI 1396917043

Geraldine M Dutra, PA is a Surgical Physician Assistant in Woodland, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

632 W Gibson Rd
Woodland, CA 95695-5169
Phone: (530) 668-2600
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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 PA14146 (CA)

Record details

NPI number1396917043
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 1, 2008
Last updated in NPPESFebruary 14, 2012

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