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

Nancy Callaham, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1386052371

Nancy Callaham, PHYSICIANASSISTANT is a Physician Assistant in Los Angeles, California. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
12
Licensed in
CA, FL
In the registry since
2014
Specialties on file
2

Practice location Address checks out

212 Bailey St
Los Angeles, CA 90033-2459
Phone: (818) 397-1135
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 55458 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PAT9107943 (FL)

Record details

NPI number1386052371
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 23, 2014
Last updated in NPPESMay 14, 2021
Certification dateMay 14, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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