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

Jose A. Suazo, PA-C

Individual provider Physician Assistant · NPI 1639122153

Jose A. Suazo, PA-C is a Physician Assistant in Mission Viejo, California. Qualified in 1991, 35 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2006
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

26800 Crown Valley Pkwy Ste 385
Mission Viejo, CA 92691-7320
Phone: (949) 542-8002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4002 Vista Way, Oceanside, CA 92056-4506 — (760) 940-3808

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA12870 (CA)

Record details

NPI number1639122153
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mission Viejo