Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Xavier Idelfonso Valdez, MPAS, PA-C

Individual provider Surgical Physician Assistant · NPI 1164404034

Xavier Idelfonso Valdez, MPAS, PA-C is a Physician Assistant in LA Mesa, California. Qualified in 2005, 21 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
21
Licensed in
CA, TX
In the registry since
2005
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

4561 Dickey Dr
LA Mesa, CA 91941-5735
Phone: (619) 328-3025
Fax: (619) 312-0528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA04666 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA19287 (CA)

Record details

NPI number1164404034
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESDecember 1, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in LA Mesa