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

Individual provider Physician Assistant · NPI 1215959788

Nancy Jo Vassallo, PA-C is a Physician Assistant in Roseville, California. Qualified in 1988, 38 years ago. Practices with Vituity-California Observation Services PC, a 84-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
38
Licensed in
CA
In the registry since
2006
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

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone: (916) 781-1000
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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 PA12314 (CA)

Record details

NPI number1215959788
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Vituity-California Observation Services Pc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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