Healthcare Provider Details

I. General information

NPI: 1528705258
Provider Name (Legal Business Name): CHASE ALEXANDER DUHON PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2022
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

844 OLD TUNNEL RD
GRASS VALLEY CA
95945-8524
US

IV. Provider business mailing address

844 OLD TUNNEL RD
GRASS VALLEY CA
95945-8524
US

V. Phone/Fax

Practice location:
  • Phone: 530-274-9762
  • Fax: 866-329-5646
Mailing address:
  • Phone: 530-274-9762
  • Fax: 866-329-5646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA66706
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: