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

Ian Timothy Fitzgerald, PA-C

Individual provider Physician Assistant · NPI 1477132835

Ian Timothy Fitzgerald, PA-C is a Physician Assistant in Modesto, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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

1700 Coffee Rd
Modesto, CA 95355-2803
Phone: (209) 601-4054
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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 59623 (CA)
Physician Assistant Taxonomy 363A00000X (CA)

Record details

NPI number1477132835
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

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