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

Justin Hadaller

Individual provider Physician Assistant · NPI 1134521909

Justin Hadaller is a Physician Assistant in Yreka, California. Graduated from University of Washington School of Medicine in 2014, 12 years ago. Practices with Asante Physician Partners, a 225-clinician group and accepts Medicare assignment. Licensed in California, Oregon and Washington.

Years since qualifying
12
Trained at
University of Washington School of Medicine
Licensed in
CA, OR, WA
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

475 Bruce St
Yreka, CA 96097-3474
Phone: (530) 842-4121
Fax: (530) 841-0913
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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 PA60906 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA60494109 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA171878 (OR)

Record details

NPI number1134521909
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2014
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022
Mailing address475 Bruce St, Yreka, CA 96097-3474

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Asante Physician Partners — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Yreka