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MR. MIGUEL ANGEL MEDINA PAC
NPI 1447232640
Physician Assistant in Pomona, CA

Active since November 15, 2005
795 E SECOND ST., SUITE 5, POMONA, CA 91766(909) 865-2565(909) 865-2955 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Miguel Angel Medina Pac NPPES

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

MR. MIGUEL ANGEL MEDINA PAC (NPI 1447232640) is an individual physician assistant in Pomona, California, licensed in California (PA10383) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1447232640
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MIGUEL ANGEL MEDINACredential: PAC
Location Address795 E SECOND ST., SUITE 5Pomona, CA 91766-2007
Mailing Address795 E. Second Street, Suite 5Pomona, CA 91766-2007 · (909) 865-2565 · Fax (909) 865-2955
Phone(909) 865-2565
Fax(909) 865-2955
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateJune 20, 2012
✔ NPI 1447232640 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 · PA10383
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.
795 E SECOND ST., Pomona, CA 91766
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Other Identifiers 3

Medicare ID-Type UnspecifiedWPA10383A
MedicaidPA10383CA
Medicare UPINP20913

Other Providers at the Same Location NPPES

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

CHADRON ARAKI JR.
Student in an Organized Health Care Education/Training Program
795 E SECOND ST., THIRD FLOOR, SUITE 8
POMONA, CA 91766
Los Angeles County (909) 706-3910

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 Miguel Medina's NPI number?

The NPI number for Miguel Medina is 1447232640. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Miguel Medina located?

Miguel Medina practices at 795 E Second St. Suite 5, Pomona, CA 91766. The listed phone number is (909) 865-2565.

What is Miguel Medina'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 Miguel Medina was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.