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

Jorge L Candiotti, PA-C

Individual provider Physician Assistant · NPI 1245877679

Jorge L Candiotti, PA-C is a Physician Assistant in Grapevine, Texas. Qualified in 2019, 7 years ago. Practices with Primamed Physicians, PLLC, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Texas.

Years since qualifying
7
Licensed in
PA, TX
In the registry since
2019
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

1604 Lancaster Dr
Grapevine, TX 76051-3544
Phone: (855) 893-5637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12311 Perry Hwy, Wexford, PA 15090-8344 — (878) 332-4159

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17258 (TX)
Physician Assistant Taxonomy 363A00000X · Licence MA061288 (PA)

Record details

NPI number1245877679
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2019
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Primamed Physicians, Pllc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Grapevine