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

Individual provider Medical Physician Assistant · NPI 1295474799

Gideon Henry Lebowitz, PA-C is a Physician Assistant in Vallejo, California. Qualified in 2024, 2 years ago. Practices with La Clinica De La Raza Inc, a 131-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
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

220 Hospital Dr
Vallejo, CA 94589-2517
Phone: (707) 641-1900
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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 64697 (CA)

Record details

NPI number1295474799
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 2, 2022
Last updated in NPPESJuly 7, 2024
Certification dateJuly 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice La Clinica De La Raza Inc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vallejo