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ANDREA LYNN LANE PA-C
NPI 1790902997
Physician Assistant in San Diego, CA

Active since April 19, 2007
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108(619) 881-4500 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Lynn Lane Pa-c NPPES

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

ANDREA LYNN LANE PA-C (NPI 1790902997) is an individual physician assistant in San Diego, California, licensed in California (PA18134) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1790902997
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANDREA LYNN LANECredential: PA-C
Location Address1075 CAMINO DEL RIO SSan Diego, CA 92108-3538
Mailing Address1075 Camino Del Rio SSan Diego, CA 92108-3538 · (619) 881-4500
Phone(619) 881-4500
Sole ProprietorYes
Enumeration DateApril 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790902997 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 · PA18134
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.
1075 CAMINO DEL RIO S, San Diego, CA 92108
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Other Identifiers 1

Medicare UPINPA18134CA

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.

JEFF RUGGLES
Pharmacist
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108
San Diego County (619) 881-5094
KATHYA VIDES RN
Registered Nurse
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108
San Diego County (619) 881-4630
KIMBERLY SELLERS NP
Nurse Practitioner (Women's Health)
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108
San Diego County (619) 881-4500
MRS. SARA D SCHILT P.A.
Physician Assistant
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108
San Diego County (619) 881-4500
MRS. THERESA PERPETUO N. P.
Nurse Practitioner (Family)
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108
San Diego County (619) 881-4500
IDALIA SAWYER
Nurse Practitioner (Family)
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108
San Diego County (619) 881-4500
ANNA JONAN
Nurse Practitioner
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108
San Diego County (619) 881-4500
DIANA HERNANDEZ RN
Registered Nurse
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108
San Diego County (619) 822-1273

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 Andrea Lane's NPI number?

The NPI number for Andrea Lane is 1790902997. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Andrea Lane located?

Andrea Lane practices at 1075 Camino Del Rio S, San Diego, CA 92108. The listed phone number is (619) 881-4500.

What is Andrea Lane'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 Andrea Lane 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.