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

Valentin De Anda Jr., PA

Individual provider Medical Physician Assistant · NPI 1578237327

Valentin De Anda Jr., PA is a Physician Assistant in Los Angeles, California. Qualified in 2021, 5 years ago. Practices with Mgm Physician Assistant Inc, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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

1731 E 120th St
Los Angeles, CA 90059-3051
Phone: (323) 563-4800
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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

Record details

NPI number1578237327
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 5, 2021
Last updated in NPPESAugust 5, 2021
Certification dateJuly 11, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mgm Physician Assistant Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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