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

Individual provider Medical Physician Assistant · NPI 1801879341

Jerry Lane Lewis, PA is a Medical Physician Assistant in Planada, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
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

9235 E Broadway St
Planada, CA 95365-8088
Phone: (209) 382-0253
Fax: (209) 382-2110
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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 PA11479 (CA)

Record details

NPI number1801879341
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 29, 2005
Last updated in NPPESMarch 7, 2023