Healthcare Provider Details

I. General information

NPI: 1790861516
Provider Name (Legal Business Name): CYNDI LEE BREWER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 LAKESIDE VLG CMNS BLDG A
CHICO CA
95928-3979
US

IV. Provider business mailing address

6250 GRAHAM RD
PARADISE CA
95969-3102
US

V. Phone/Fax

Practice location:
  • Phone: 530-873-5030
  • Fax: 530-762-3008
Mailing address:
  • Phone: 530-332-6430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA60612
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: