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

Individual provider Physician Assistant · NPI 1134768534

Nicholas Vincent Petito, PA-C is a Physician Assistant in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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

8436 W 3rd St Ste 800
Los Angeles, CA 90048-4100
Phone: (310) 860-3048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1134768534
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 2, 2020
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020

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