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

Individual provider Physician Assistant · NPI 1881071959

MS. Michaela Nicole Fajardo, PA-C is a Physician Assistant in Van Nuys, California. Qualified in 2015, 11 years ago. Practices with Northeast Valley Health Corporation, a 76-clinician group. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
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

14624 Sherman Way Ste 600
Van Nuys, CA 91405-2289
Phone: (818) 988-6335
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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 52410 (CA)

Record details

NPI number1881071959
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 28, 2015
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northeast Valley Health Corporation — 76 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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