1. Home
  2. Directory
  3. California
  4. Pomona
  5. Physician Assistant
  6. NPI Profile

SERGIO NATHANIEL AVILA PA-C
NPI 1396405312
Physician Assistant in Pomona, CA

Active since December 20, 2021PECOS Enrolled
790 E BONITA AVE FL 2, POMONA, CA 91767(909) 447-8585(909) 447-8593 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Feb 28, 2022, Dec 20, 2021 (3 updates tracked since 2021).

About Sergio Nathaniel Avila Pa-c NPPES

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

SERGIO NATHANIEL AVILA PA-C (NPI 1396405312) is an individual physician assistant in Pomona, California, licensed in California (PA60689) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396405312
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSERGIO NATHANIEL AVILACredential: PA-C
Location Address790 E BONITA AVE FL 2Pomona, CA 91767-1906
Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-0128
Phone(909) 447-8585
Fax(909) 447-8593
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 20, 2021
Last NPPES UpdateMay 12, 20263 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1396405312 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 · PA60689
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.
790 E BONITA AVE FL 2, Pomona, CA 91767
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sergio Nathaniel Avila Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941771869
PECOS Enrollment IDI20260602001369
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

JANE ELLEN RODGERS
Physician Assistant
790 E BONITA AVE FL 2
POMONA, CA 91767
Los Angeles County (909) 447-8585
SEERAT ANAND M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
790 E BONITA AVE FL 2
POMONA, CA 91767
Los Angeles County (909) 447-8585
DAISY LOERA AGUILAR
Physician Assistant (Medical)
790 E BONITA AVE FL 2
POMONA, CA 91767
Los Angeles County (909) 447-8585
URVI PRADEEP VYAS M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
790 E BONITA AVE FL 2
POMONA, CA 91767
Los Angeles County (909) 447-8585
COBY MCELRATH
Pediatrics
790 E BONITA AVE FL 2
POMONA, CA 91767
Los Angeles County (909) 447-8585
LESLIE VANESSA THEROITH NP
Nurse Practitioner (Family)
790 E BONITA AVE FL 2
POMONA, CA 91767
Los Angeles County (909) 469-0033
DR. PRAMOD THEETHA KARIYANNA M.D.
Internal Medicine (Interventional Cardiology)
790 E BONITA AVE FL 2
POMONA, CA 91767
Los Angeles County (909) 447-8585
JALPA CHAUDHARI NP
Nurse Practitioner
790 E BONITA AVE FL 2
POMONA, CA 91767
Los Angeles County (909) 447-8585

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 Sergio Avila's NPI number?

The NPI number for Sergio Avila is 1396405312. It was assigned to this individual provider in the NPPES registry on December 20, 2021.

Where is Sergio Avila located?

Sergio Avila practices at 790 E Bonita Ave Fl 2, Pomona, CA 91767. The listed phone number is (909) 447-8585.

What is Sergio Avila's specialty?

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

Is Sergio Avila enrolled in Medicare?

Yes. Sergio Avila is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sergio Avila was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.