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

Mario Abrego, PAC

Individual provider Physician Assistant · NPI 1215089040

Mario Abrego, PAC is a Physician Assistant in South Gate, California. Qualified in 1991, 35 years ago. Practices with La Libertad Medical Clinic Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

8225 Long Beach Blvd
South Gate, CA 90280-2010
Phone: (323) 585-2486
Fax: (323) 585-7455
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA12832 (CA)

Record details

NPI number1215089040
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJuly 9, 2007
Mailing address8225 Long Beach Blvd, South Gate, CA 90280-2010

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 La Libertad Medical Clinic Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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