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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RUDY MEDINA
NPI 1982496360
Physician Assistant in Lake Elsinore, CA

Active since May 21, 2025
31408 CLEMENT ST, LAKE ELSINORE, CA 92530(714) 225-3314 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 29, 2026, May 22, 2025 (2 updates tracked since 2025).

About Rudy Medina NPPES

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

RUDY MEDINA (NPI 1982496360) is an individual physician assistant in Lake Elsinore, California and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1982496360
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRUDY MEDINA
Location Address31408 CLEMENT STLake Elsinore, CA 92530-5105
Mailing Address31408 Clement StLake Elsinore, CA 92530-5105 · (714) 225-3314
Phone(714) 225-3314
Sole ProprietorYes
Enumeration DateMay 21, 2025
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1982496360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
31408 CLEMENT ST, Lake Elsinore, CA 92530
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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 Rudy Medina's NPI number?

The NPI number for Rudy Medina is 1982496360. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Rudy Medina located?

Rudy Medina practices at 31408 Clement St, Lake Elsinore, CA 92530. The listed phone number is (714) 225-3314.

What is Rudy 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 Rudy Medina was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.