Nathaniel Gandy Lane, PA-C
Nathaniel Gandy Lane, PA-C is a Physician Assistant in Fort Bragg, California. Graduated from University of Oklahoma College of Medicine in 2015, 11 years ago. Practices with Mendocino Coast Clinics, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 11
- Trained at
- University of Oklahoma College of Medicine
- Licensed in
- CA
- In the registry since
- 2016
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
205 S StFort Bragg, CA 95437-5540
Phone: (707) 964-1251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 53182 (CA) |
|---|
Record details
| NPI number | 1528427994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | February 15, 2016 |
| Last updated in NPPES | July 21, 2026 |
| Certification date | July 21, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | Mendocino Coast Clinics, Inc — 20 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fort Bragg
-
Pamela R Koehler, PA
721A River Dr, Fort Bragg, CA 95437-5402 · (707) 964-1192
-
Joseph E Martin, PA
205 S St, Fort Bragg, CA 95437-5540 · (707) 964-1251
-
MS. Debra Jeanne Tomaszewski, PA-C
205 S St, Fort Bragg, CA 95437-5540 · (707) 964-1251