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

Individual provider Physician Assistant · NPI 1164509899

Jason L Roddick, PA-C is a Physician Assistant in Loma Linda, California. Works from 5 locations. Licensed in California.

Licensed in
CA
In the registry since
2006
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

25815 Barton Rd Ste 101
Loma Linda, CA 92354-3894
Phone: (909) 796-0224
Fax: (909) 796-0225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1165 N Euclid St, Anaheim, CA 92801-1938 — (714) 991-9990
  • 289 W Huntington Dr Ste 208, Arcadia, CA 91007-3495 — (626) 446-8809
  • 1620 E 2nd St Ste N, Beaumont, CA 92223-3172 — (951) 845-6500
  • 573 W Putnam Ave, Porterville, CA 93257-3270 — (559) 781-1812

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA18638 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA18638 (CA)

Record details

NPI number1164509899
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020

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