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

Individual provider Physician Assistant · NPI 1477230225

Nadia Tavakkoli, PA-C is a Physician Assistant in Lake Elsinore, California. Qualified in 2021, 5 years ago. Practices with Wound Care 360 Advanced Solutions Inc, a 12-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2023
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

9 Del Torino
Lake Elsinore, CA 92532-0204
Phone: (951) 623-3941
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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 PA63148 (CA)

Record details

NPI number1477230225
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 3, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wound Care 360 Advanced Solutions Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lake Elsinore