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

Felipe De Jesus Coronado, PA-C

Individual provider Physician Assistant · NPI 1508920059

Felipe De Jesus Coronado, PA-C is a Physician Assistant in Diamond Bar, California. Qualified in 2006, 20 years ago. Practices with Pacific Dermatology Institute, a 32-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, California, Nevada and Texas.

Years since qualifying
20
Licensed in
AZ, CA, NV, TX
In the registry since
2006
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1111 Grand Ave Ste K
Diamond Bar, CA 91765-4172
Phone: (909) 860-4254
Fax: (098) 602-6749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 175 S Harbor Blvd, Anaheim, CA 92805-3710 — (909) 860-4254
  • 3724 Executive Center Dr Ste G10, Austin, TX 78731-1665 — (512) 345-5925

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 55499 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA05049 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2459 (NV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 8258 (AZ)

Record details

NPI number1508920059
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESNovember 24, 2023
Certification dateNovember 17, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Pacific Dermatology Institute — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Diamond Bar