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

Individual provider Surgical Physician Assistant · NPI 1710044888

Mr. David Dean Nisley, PA-C is a Physician Assistant in Modesto, California. Qualified in 1976, 50 years ago. Practices with David a Olson MD a Professional Corporation, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
50
Licensed in
CA
In the registry since
2007
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

1441 Florida Ave Neurosurgery Pa
Modesto, CA 95350-4405
Phone: (209) 578-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA 12965 (CA)

Record details

NPI number1710044888
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 2, 2007
Last updated in NPPESMarch 28, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Group practice David A Olson Md A Professional Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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