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

Judd Laraway, PA-C

Individual provider Surgical Physician Assistant · NPI 1154505402

Judd Laraway, PA-C is a Surgical Physician Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (619) 543-5540
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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 PA16735 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA16735 (CA)

Record details

NPI number1154505402
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 21, 2007
Last updated in NPPESOctober 29, 2019

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