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XAVIER IDELFONSO VALDEZ MPAS, PA-C
NPI 1164404034
Physician Assistant - Surgical in La Mesa, CA

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
4561 DICKEY DR, LA MESA, CA 91941(619) 328-3025(619) 312-0528 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Xavier Idelfonso Valdez Mpas, Pa-c NPPES

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

XAVIER IDELFONSO VALDEZ MPAS, PA-C (NPI 1164404034) is an individual surgical provider in La Mesa, California, licensed in Texas (PA04666) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1164404034
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameXAVIER IDELFONSO VALDEZCredential: MPAS, PA-C
Location Address4561 DICKEY DRLa Mesa, CA 91941-5735
Mailing AddressPo Box 104La Mesa, CA 91944-0104 · (619) 328-3025 · Fax (619) 312-0528
Phone(619) 328-3025
Fax(619) 312-0528
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 16, 2005
Last NPPES UpdateDecember 1, 2021
✔ NPI 1164404034 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
Licenses✔ Licensed in TX · PA04666✔ Licensed in CA · PA19287
4561 DICKEY DR, La Mesa, CA 91941
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Xavier Idelfonso Valdez Mpas, Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234151994
PECOS Enrollment IDI20071130000266
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

JASVEEN DHILLON MS, PA-C
Physician Assistant (Surgical)
4561 DICKEY DR
LA MESA, CA 91941
San Diego County (619) 328-3025
GARY LEE MEYER
Physician Assistant (Surgical)
4561 DICKEY DR
LA MESA, CA 91941
San Diego County (619) 328-3025

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 Xavier Valdez's NPI number?

The NPI number for Xavier Valdez is 1164404034. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Xavier Valdez located?

Xavier Valdez practices at 4561 Dickey Dr, La Mesa, CA 91941. The listed phone number is (619) 328-3025.

What is Xavier Valdez's specialty?

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

Is Xavier Valdez enrolled in Medicare?

Yes. Xavier Valdez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Xavier Valdez was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.