Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Scott Kevin Ishmael, PA-C

Individual provider Medical Physician Assistant · NPI 1073701322

Scott Kevin Ishmael, PA-C is a Medical Physician Assistant in Folsom, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

1350 Broadstone Pkwy Appt 3622
Folsom, CA 95630-8478
Phone: (530) 409-5755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA18592 (CA)

Record details

NPI number1073701322
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 11, 2007
Last updated in NPPESOctober 11, 2007

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