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

Individual provider Physician Assistant · NPI 1538781372

Jacob Adam Novick, PA-C is a Physician Assistant in Roseville, California. Qualified in 2020, 6 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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

1346 Stonebridge Way
Roseville, CA 95661-5457
Phone: (916) 300-5437
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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 PA58099 (CA)

Record details

NPI number1538781372
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 14, 2020
Last updated in NPPESFebruary 11, 2022
Certification dateMay 14, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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