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

Individual provider Physician Assistant · NPI 1679927834

Eleazar S. Dial, PA-C is a Physician Assistant in Riverside, California. Qualified in 2015, 11 years ago. Practices with Hawaii Permanente Medical Group Inc, a 705-clinician group and accepts Medicare assignment. Licensed in California and Hawaii.

Years since qualifying
11
Licensed in
CA, HI
In the registry since
2016
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

3975 Jackson St Ste 200
Riverside, CA 92503-3947
Phone: (951) 353-2769
Fax: (951) 353-2779
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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 PA59155 (CA)
Physician Assistant Taxonomy 363A00000X · Licence AMD671 (HI)

Record details

NPI number1679927834
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 14, 2016
Last updated in NPPESOctober 13, 2021
Certification dateAugust 16, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Hawaii Permanente Medical Group Inc — 705 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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