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PEGGY JANE DEFOREST P.A.
NPI 1447460522
Physician Assistant in Shasta Lake, CA

Active since May 23, 2007
5145 SHASTA DAM BLVD, SHASTA LAKE, CA 96019(530) 275-5421 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peggy Jane Deforest P.a. NPPES

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

PEGGY JANE DEFOREST P.A. (NPI 1447460522) is an individual physician assistant in Shasta Lake, California, licensed in California (PA 10739) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1447460522
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePEGGY JANE DEFORESTCredential: P.A.
Location Address5145 SHASTA DAM BLVDShasta Lake, CA 96019-9403
Mailing Address5734 Old Barn WayRedding, CA 96001-4649 · (530) 275-5421
Phone(530) 275-5421
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447460522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA 10739
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5145 SHASTA DAM BLVD, Shasta Lake, CA 96019
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Other Providers at the Same Location NPPES 3

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

HAROLD S. BUDHRAM, MD, INC.
Family Medicine
5145 SHASTA DAM BLVD
SHASTA LAKE, CA 96019
Shasta County (530) 275-5421
DR. HAROLD S. BUDHRAM M.D
Family Medicine
5145 SHASTA DAM BLVD
SHASTA LAKE, CA 96019
Shasta County (530) 275-5421
JERI RENE'E CATES RN, MSN, FNPC
Nurse Practitioner
5145 SHASTA DAM BLVD
SHASTA LAKE, CA 96019
Shasta County (530) 275-5421

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 Peggy Deforest's NPI number?

The NPI number for Peggy Deforest is 1447460522. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Peggy Deforest located?

Peggy Deforest practices at 5145 Shasta Dam Blvd, Shasta Lake, CA 96019. The listed phone number is (530) 275-5421.

What is Peggy Deforest's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Peggy Deforest was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.