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

John Addae

Individual provider Physician Assistant · NPI 1083437750

John Addae is a Physician Assistant in Lake Elsinore, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

29252 Southerness
Lake Elsinore, CA 92530-4399
Phone: (609) 742-3405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1083437750
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 1, 2024
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address29252 Southerness, Lake Elsinore, CA 92530-4399

Other providers in Lake Elsinore