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

Individual provider Physician Assistant · NPI 1689924581

Mr. James Datson Herndon, PA-C is a Physician Assistant in Rancho Mirage, California. Practices as a sole proprietor and works from 2 locations. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2012
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

69730 Highway 111 Ste 109
Rancho Mirage, CA 92270-2873
Phone: (760) 778-6120
Fax: (607) 406-6077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 44359 Palm St, Indio, CA 92201-3116 — (760) 342-6616

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA16694 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA156961 (OR)

Record details

NPI number1689924581
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 18, 2012
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

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