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

Lauren Fitzgerald

Individual provider Physician Assistant · NPI 1407596166

Lauren Fitzgerald is a Physician Assistant in Vallejo, California. Qualified in 2024, 2 years ago. Practices with Borrego Stat Care Inc, a 4-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2022
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Practice location Address checks out

1310 Club Dr
Vallejo, CA 94592-1187
Phone: (707) 638-5809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1407596166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2022
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022
Mailing addressPo Box 3363, Blue Jay, CA 92317-3363

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Borrego Stat Care Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Vallejo