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

Justin Ebert, PA

Individual provider Medical Physician Assistant · NPI 1942379391

Justin Ebert, PA is a Physician Assistant in Ukiah, California. Graduated from Stanford University School of Medicine in 2004, 22 years ago. Practices with Mendocino Community Health Clinic Inc, a 58-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Trained at
Stanford University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

333 Laws Ave
Ukiah, CA 95482-6540
Phone: (707) 468-1010
Fax: (707) 468-0174
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA17809 (CA)

Record details

NPI number1942379391
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESJuly 8, 2007
Mailing address333 Laws Ave, Ukiah, CA 95482-6540

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Mendocino Community Health Clinic Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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