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

Paul Jean Loo Dwight

Individual provider Physician Assistant · NPI 1083288914

Paul Jean Loo Dwight is a Physician Assistant in Vallejo, California. Qualified in 2022, 4 years ago. Practices with Cura Vitae, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1310 Club Dr
Vallejo, CA 94592-1187
Phone: (707) 638-5809
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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 PA61852 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1083288914
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 15, 2021
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address3303 Beechwood Dr, Lafayette, CA 94549-4604

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cura Vitae — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vallejo