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CYNTHIA VANESSA MEDINA PA-C
NPI 1720473796
Physician Assistant in Los Angeles, CA

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
127 S SAN VICENTE BLVD STE 7650, LOS ANGELES, CA 90048(310) 423-1160(310) 423-4646 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2025, Aug 14, 2021, Feb 1, 2021 and 1 more (4 updates tracked since 2017).

About Cynthia Vanessa Medina Pa-c NPPES

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

CYNTHIA VANESSA MEDINA PA-C (NPI 1720473796) is an individual physician assistant in Los Angeles, California, licensed in California (PA54134) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720473796
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCYNTHIA VANESSA MEDINACredential: PA-C
Location Address127 S SAN VICENTE BLVD STE 7650Los Angeles, CA 90048-3311
Mailing Address4140 W 190th StTorrance, CA 90504-5513 · (310) 423-1160 · Fax (310) 423-4646
Phone(310) 423-1160
Fax(310) 423-4646
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateAugust 15, 20254 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1720473796 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 · PA54134
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.
127 S SAN VICENTE BLVD STE 7650, Los Angeles, CA 90048
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Secondary Practice Location 1

Location 11441 Eastlake Ave Ste 3470Los Angeles, CA 90089-1020 · Phone (323) 865-3950

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

Cynthia Vanessa Medina 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 ID4082988423
PECOS Enrollment IDI20170922001740
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 90048 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.

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 Cynthia Medina's NPI number?

The NPI number for Cynthia Medina is 1720473796. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Cynthia Medina located?

Cynthia Medina practices at 127 S San Vicente Blvd Ste 7650, Los Angeles, CA 90048. The listed phone number is (310) 423-1160.

What is Cynthia Medina's specialty?

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

Is Cynthia Medina enrolled in Medicare?

Yes. Cynthia Medina 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 Cynthia Medina was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.