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

Nicolas Dejong, PA-C

Individual provider Athletic Trainer · NPI 1902204803

Nicolas Dejong, PA-C is a Physician Assistant in Oxnard, California. Qualified in 2015, 11 years ago. Practices with Primary Medical Group of Ventura County Inc, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Washington.

Years since qualifying
11
Licensed in
CA, WA
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1751 Lombard St Ste A
Oxnard, CA 93030
Phone: (805) 981-9111
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA55150 (CA)
Athletic Trainer Taxonomy 2255A2300X
Physician Assistant Taxonomy 363A00000X · Licence PA60604695 (WA)

Record details

NPI number1902204803
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2014
Last updated in NPPESJune 4, 2019
Mailing address1751 Lombard St Ste A, Oxnard, CA 93030-8266

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Primary Medical Group Of Ventura County Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Oxnard