Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alberto Segundo Medina, PA

Individual provider Physician Assistant · NPI 1952956963

Alberto Segundo Medina, PA is a Physician Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona and Puerto Rico.

Licensed in
AZ, PR
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

521 W Thomas Rd Fl 2
Phoenix, AZ 85013-4241
Phone: (602) 254-0390
Fax: (888) 846-8757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9682 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 001267-PA (PR)

Record details

NPI number1952956963
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 6, 2019
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023

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