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

Nathalie Marie De Vera, PA-C

Individual provider Medical Physician Assistant · NPI 1366131591

Nathalie Marie De Vera, PA-C is a Physician Assistant in Santa Ana, California. Qualified in 2023, 3 years ago. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Specialties on file
2
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

5 Hutton Centre Dr Ste 950
Santa Ana, CA 92707-8744
Phone: (445) 274-4233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA63686 (CA)
Physician Assistant Taxonomy 363A00000X (CA)

Record details

NPI number1366131591
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 3, 2023
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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