Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominick Valentine, PA-C

Individual provider Surgical Physician Assistant · NPI 1568891638

Dominick Valentine, PA-C is a Physician Assistant in Los Angeles, California. Qualified in 2013, 13 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
13
Licensed in
CA, ID
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

127 S San Vicente Blvd # A-3600
Los Angeles, CA 90048-3311
Phone: (310) 423-3850
Fax: (310) 423-0246
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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 PA58832 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TLP-018 (ID)

Record details

NPI number1568891638
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 8, 2013
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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