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

Justin Durham, PA

Individual provider Physician Assistant · NPI 1396459624

Justin Durham, PA is a Physician Assistant in Redding, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
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

2175 Rosaline Ave
Redding, CA 96001-2549
Phone: (530) 225-6000
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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 62271 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1396459624
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 11, 2023
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023

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