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

Mr. Edsel Condez, PA, MMS

Individual provider Physician Assistant · NPI 1073978680

Mr. Edsel Condez, PA, MMS is a Physician Assistant in San Diego, California. Qualified in 2015, 11 years ago. Practices with Exer Medical Corporation, a 333-clinician group and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
11
Licensed in
CA, WA
In the registry since
2015
Specialties on file
3
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

1809 National Ave
San Diego, CA 92113-2113
Phone: (619) 515-2300
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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 53129 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA.PA.60615465 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA60615465 (WA)

Record details

NPI number1073978680
Entity typeIndividual (Type 1)
GenderMale
Credentials PA , MMS
Sole proprietorNo
NPI enumeratedDecember 24, 2015
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Exer Medical Corporation — 333 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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