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

Individual provider Physician Assistant · NPI 1346048717

Mr. Zachary Michael Defouw, PA-C is a Physician Assistant in Redding, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
Specialties on file
3
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

415 Knollcrest Dr Ste 101
Redding, CA 96002-0181
Phone: (530) 255-7507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA67003 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1346048717
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 3, 2025
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

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