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LISETTE VALENCIA PA-C
NPI 1487046272
Physician Assistant in Pomona, CA

Active since March 03, 2015PECOS Enrolled
255 E BONITA AVE, POMONA, CA 91767(909) 643-2980 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisette Valencia Pa-c NPPES

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

LISETTE VALENCIA PA-C (NPI 1487046272) is an individual physician assistant in Pomona, California, licensed in California (PA52180) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487046272
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISETTE VALENCIACredential: PA-C
Location Address255 E BONITA AVEPomona, CA 91767-1923
Mailing Address255 E Bonita AvePomona, CA 91767-1923 · (909) 643-2980
Phone(909) 643-2980
Sole ProprietorYes
Enumeration DateMarch 3, 2015
Last NPPES UpdateNovember 17, 2021
NPPES CertifiedNovember 17, 2021
✔ NPI 1487046272 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 · PA52180
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.
255 E BONITA AVE, Pomona, CA 91767
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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 (PECOS)

Lisette Valencia Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

SUCHADA TACHASOOKSAREE MSPAS, MPH, PA-C
Physician Assistant
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 593-7437
MICHAEL MARINELLO
Nurse Practitioner
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 643-2980
DR. KERRY NORMAN GOTT M.D.
Internal Medicine (Infectious Disease)
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 596-7733
WENDY WANG OTR/L
Occupational Therapist (Physical Rehabilitation)
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 596-7733
VANESSA PAI
Specialist/Technologist (Athletic Trainer)
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 859-5652
MICHELE ALANIZ OTR/L
Occupational Therapist
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 596-7733
TERESA LANDIS
Dietitian, Registered
255 E BONITA AVE, 2ND FLOOR, SUITE 200
POMONA, CA 91767
Los Angeles County (909) 519-3207
SARAH OLIVIA YAGHOUBI PT, DPT
Physical Therapist (Neurology)
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 596-7733

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 Lisette Valencia's NPI number?

The NPI number for Lisette Valencia is 1487046272. It was assigned to this individual provider in the NPPES registry on March 3, 2015.

Where is Lisette Valencia located?

Lisette Valencia practices at 255 E Bonita Ave, Pomona, CA 91767. The listed phone number is (909) 643-2980.

What is Lisette Valencia's specialty?

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

Is Lisette Valencia enrolled in Medicare?

Yes. Lisette Valencia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisette Valencia was last updated on November 17, 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.