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

Joe Luis Pantoja, MD

Individual provider Vascular Surgery Physician · NPI 1174985121

Joe Luis Pantoja, MD is a General Surgery in Moreno Valley, California. Graduated from University of California, San Francisco School of Medicine in 2016, 10 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

27200 Iris Ave # MOB2
Moreno Valley, CA 92555-4803
Phone: (951) 897-5671
Show map & directions

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

Additional practice locations (1)

  • 10800 Magnolia Ave, Riverside, CA 92505-3043 — (951) 897-5671

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence A152945 (CA)

Record details

NPI number1174985121
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2016
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address27200 Iris Ave # Mob2, Moreno Valley, CA 92555-4803

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare