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

Jason Rogers, PA

Individual provider Physician Assistant · NPI 1669970778

Jason Rogers, PA is a Physician Assistant in Lodi, California. Practices as a sole proprietor. Licensed in Arizona and California.

Licensed in
AZ, CA
In the registry since
2018
Specialties on file
2
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

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone: (209) 334-3411
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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 55269 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 7007 (AZ)

Record details

NPI number1669970778
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 24, 2018
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address8450 E Bonita Dr, Scottsdale, AZ 85250-7414

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