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

Xavier Anthony Duenas, PA

Individual provider Physician Assistant · NPI 1457193716

Xavier Anthony Duenas, PA is a Physician Assistant in Pomona, California. Qualified in 2024, 2 years ago. Practices with Premier Orthopaedic Trauma Specialists Pmc, a 36-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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

309 E 2nd St
Pomona, CA 91766-1854
Phone: (909) 623-6116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1457193716
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 8, 2024
Last updated in NPPESJune 8, 2024
Certification dateJune 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Premier Orthopaedic Trauma Specialists Pmc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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