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

Nicole Jacqueline Gajadhar, PA-C

Individual provider Physician Assistant · NPI 1457405524

Nicole Jacqueline Gajadhar, PA-C is a Physician Assistant in San Diego, California. Qualified in 2005, 21 years ago. Practices with Claxton-Hepburn Medical Center, a 78-clinician group and accepts Medicare assignment. Licensed in California, Connecticut and New York.

Years since qualifying
21
Licensed in
CA, CT, NY
In the registry since
2007
Specialties on file
3
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

3544 30th St
San Diego, CA 92104-4120
Phone: (619) 515-2424
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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 65712 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 7128 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 011033-1 (NY)

Record details

NPI number1457405524
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 23, 2007
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Claxton-Hepburn Medical Center — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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