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Active NPI 1083176077 Individual Practitioner Male Practitioner

Nicholas Joseph Pena , PA-C

Physician Assistant • Ontario, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicholas Pena, PA-C is a certified Physician Assistant practicing in Ontario, CA. With approximately 8 years of clinical experience since completing medical education in 2018, Nicholas Pena delivers high-quality medical care to the local community at 2295 S VINEYARD AVE.

Nicholas Pena maintains professional affiliations with Providence Medical Foundation, Legacy Clinics Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2295 S Vineyard Ave

Ontario, CA 917617925

Telephone 8887500036
Associated Practice Facility / Clinic
🏢 Kaiser Foundation Hospitals Facility NPI 1790832020

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ontario, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -2.9 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
37 Specialists

Practicing in Ontario, CA (14617 Statewide)

Telehealth Adoption Rate
8.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pena (8 Years) 8 Yrs
Ontario Specialty Average (10.9 Years) 10.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
76 75 $271.00 $83.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
34 34 $381.00 $117.90
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
11 11 $141.00 $50.28

Medical Specialties & State Licenses

CMS Verified: 2025-03-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 56636

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WA PA61575377

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Legacy Clinics Llc

2870 Sw Cedar Hills Blvd, Beaverton, OR 970051354

Phone: 5036469222

Providence Medical Foundation

1950 Sunny Crest Dr, Fullerton, CA 928353641

Phone: 7149925350

Providence Medical Foundation

100 E Valencia Mesa Dr, Fullerton, CA 928353816

Phone: 7148713006

Legacy Clinics Llc

22262 Ne Glisan St, Gresham, OR 970308553

Phone: 5034892024

Providence Medical Foundation

363 S Main St, Orange, CA 928683813

Phone: 7148553602

Providence Medical Foundation

2501 E Chapman Ave, Orange, CA 928693204

Phone: 7146337175

Legacy Clinics Llc

2850 Se Powell Valley Rd, Gresham, OR 970801494

Phone: 5036665050

Providence Medical Foundation

5630 E Santa Ana Canyon Rd, Anaheim, CA 928073122

Phone: 7146022400

Legacy Clinics Llc

1130 Nw 22nd Ave, Portland, OR 972102969

Phone: 5034138988

Secondary Practice Locations

2501 E Chapman Ave Ste 101

Orange, CA 928693204

Phone: 7146283300

2850 Se Powell Valley Rd

Gresham, OR 970801494

Phone: 5036665050

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Peyman Andalib , MD

Student in an Organized Health Care Education/Training Program

NPI 1104028000

Doctor of Medicine (M.D.)

Dr. Naziuh Bishay , MD

Family Medicine

NPI 1114927308

Doctor of Medicine (M.D.)

NPI 1144212929

Doctor of Medicine (M.D.)

NPI 1164866182

Doctor of Osteopathic Medicine (D.O.)

NPI 1174824635

Doctor of Osteopathic Medicine (D.O.)

Dr. Jack Liang , MD

Family Medicine

NPI 1184944639

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2025

Physician Assistant (License #PA61575377 in WA)

📍
Updated Practice Location April 07, 2024

Registered at 2295 S VINEYARD AVE, ONTARIO, CA 917617925 (Tel: 8887500036)

📍
Updated Business Mailing Address April 07, 2024

Registered at 385 S MANCHESTER AVE, UNIT 2109, ORANGE, CA 928683250 (Tel: 5627872940)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2024

Physician Assistant (License #56636 in CA)

📍
Updated Practice Location February 27, 2023

Registered at 1809 NATIONAL AVE, SAN DIEGO, CA 921132113 (Tel: 6195152300)

📍
Updated Business Mailing Address February 27, 2023

Registered at 823 GATEWAY CENTER WAY, SAN DIEGO, CA 921024541 (Tel: 6195152300)

NPI Profile Active April 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2019

Registered at 11861 CENTRALIA ST, LAKEWOOD, CA 907151450 (Tel: 5627872940)

📍
Updated Business Mailing Address April 01, 2019

Registered at 11861 CENTRALIA ST, LAKEWOOD, CA 907151450 (Tel: 5627872940)

👤
Provider Name / Credentials Updated April 01, 2019

Recorded as NICHOLAS PENA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2019

Physician Assistant (License #1139605 in CA)

🟢
Initial NPI Registration & Enumeration April 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083176077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2019
Last Update: March 07, 2025
Sole Proprietor: Yes

Mailing Address

385 S Manchester Ave, Unit 2109

Orange, CA 928683250

Phone: 5627872940

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.