Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa L Vanegas-Diaz I, PA

Individual provider Physician Assistant · NPI 1326084583

Lisa L Vanegas-Diaz I, PA is a Physician Assistant in Colton, California. Qualified in 2002, 24 years ago. Practices with Pain Rehabilitation and Critical Care Medical Group, Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1801
Phone: (909) 580-1000
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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 PA16546 (CA)

Record details

NPI number1326084583
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESFebruary 27, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Pain Rehabilitation And Critical Care Medical Group, Inc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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