Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lora Mina Rancourt, PA-C

Individual provider Physician Assistant · NPI 1023388519

Lora Mina Rancourt, PA-C is a Physician Assistant in Walnut Creek, California. Qualified in 2011, 15 years ago. Practices with University of California San Francisco, a 1,793-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2011
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

2625 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone: (925) 939-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3100 San Pablo Ave Ste 410, Berkeley, CA 94702-2498 — (925) 985-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA22045 (CA)

Record details

NPI number1023388519
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 30, 2011
Last updated in NPPESOctober 19, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice University Of California San Francisco — 1793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Walnut Creek