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

Sergio Nathaniel Avila, PA-C

Individual provider Physician Assistant · NPI 1396405312

Sergio Nathaniel Avila, PA-C is a Physician Assistant in Pomona, California. Qualified in 2022, 4 years ago. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2021
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

790 E Bonita Ave Fl 2
Pomona, CA 91767-1906
Phone: (909) 447-8585
Fax: (909) 447-8593
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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 PA60689 (CA)

Record details

NPI number1396405312
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 20, 2021
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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