Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jonathan Hassan Naick, PA-C, ATC, CPH

Individual provider Physician Assistant · NPI 1366968513

Mr. Jonathan Hassan Naick, PA-C, ATC, CPH is a Physician Assistant in Moreno Valley, California. Qualified in 2017, 9 years ago. Practices with Kevin J Pelton MD Inc, a 38-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone: (951) 486-4698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12412 207th St., Lakewood, CA 90715 — (702) 328-6744

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 54764 (CA)

Record details

NPI number1366968513
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC , CPH
Sole proprietorNo
NPI enumeratedAugust 18, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Kevin J Pelton Md Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Moreno Valley