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

Individual provider Surgical Physician Assistant · NPI 1194229765

Roksolana Zaderetskii, PA is a Physician Assistant in Torrance, California. Qualified in 2017, 9 years ago. Practices with Cedars-Sinai Medical Care Foundation, a 1,696-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
9
Licensed in
CA, IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

23451 Madison St Ste 340&300
Torrance, CA 90505-4763
Phone: (310) 373-6864
Fax: (310) 373-3065
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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 PA62494 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085006520 (IL)

Record details

NPI number1194229765
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

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 Cedars-Sinai Medical Care Foundation — 1696 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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