GERALDINE M DUTRA P.A.
NPI 1396917043
Physician Assistant - Surgical in Woodland, CA

Active since April 01, 2008
632 W GIBSON RD, WOODLAND, CA 95695(530) 668-2600 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Geraldine M Dutra P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALDINE M DUTRA P.A. (NPI 1396917043) is an individual surgical provider in Woodland, California, licensed in California (PA14146) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1396917043
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameGERALDINE M DUTRACredential: P.A.
Location Address632 W GIBSON RDWoodland, CA 95695-5169
Mailing Address632 W Gibson RdWoodland, CA 95695-5169 · (530) 668-2600
Sole ProprietorNo
Enumeration DateApril 1, 2008
Last NPPES UpdateFebruary 14, 2012
NPI 1396917043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA14146
632 W GIBSON RD, Woodland, CA 95695

Other Identifiers 4

Medicare PINAT930YCA
OtherPA14146CA · Pa License
OtherZZZ13239ZCA · Group Ptan
MedicaidGR0079250CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
632 W GIBSON RD
WOODLAND, CA 95695
Obstetrics & Gynecology
632 W GIBSON RD
WOODLAND, CA 95695
Hospitalist
632 W GIBSON RD
WOODLAND, CA 95695
Physician Assistant
632 W GIBSON RD
WOODLAND, CA 95695
Physician Assistant
632 W GIBSON RD
WOODLAND, CA 95695
Nurse Practitioner
632 W GIBSON RD
WOODLAND, CA 95695
Pharmacy (Community/Retail Pharmacy)
632 W GIBSON RD
WOODLAND, CA 95695
Family Medicine (Sports Medicine)
632 W GIBSON RD
WOODLAND, CA 95695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geraldine Dutra's NPI number?

The NPI number for Geraldine Dutra is 1396917043. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Geraldine Dutra located?

Geraldine Dutra practices at 632 W Gibson Rd, Woodland, CA 95695. The listed phone number is (530) 668-2600.

What is Geraldine Dutra's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Geraldine Dutra was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.