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

Nicole Radovich

Individual provider Physician Assistant · NPI 1851834279

Nicole Radovich is a Physician Assistant in San Francisco, California. Qualified in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

2425 Geary Blvd
San Francisco, CA 94115-3358
Phone: (415) 833-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3880 Moulton Dr, San Bruno, CA 94066-1026 — (650) 799-7668

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 54900 (CA)

Record details

NPI number1851834279
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 3, 2016
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Francisco