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

Individual provider Physician Assistant · NPI 1902275993

Meredith Dettmar, PA-C is a Physician Assistant in Rancho Cucamonga, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
2
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

10787 Laurel St
Rancho Cucamonga, CA 91730-3828
Phone: (099) 982-7741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 52882 (CA)

Record details

NPI number1902275993
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 19, 2015
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing address16705 Carob Ave, Chino Hills, CA 91709-6524

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