Nicholas Joseph Pena, PA-C
Physician Assistant in Ontario, CA. Individual provider (NPI-1).
NPI number1083176077
StatusActive
Last updated in NPPESMar 7, 2025
Details
- NPI
- 1083176077
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Joseph Pena
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2019
- Certification date
- Mar 7, 2025
- Last updated
- Mar 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 56636 | CA | Yes |
| 363A00000X | Physician Assistant | PA61575377 | WA |
Practice location
2295 S Vineyard AveOntario, CA 91761-7925
Phone 888-750-0036
Mailing address
385 S Manchester AveUnit 2109
Orange, CA 92868-3250
Phone 562-787-2940
Other practice locations
2501 E Chapman Ave Ste 101
Orange, CA 92869-3204
Orange, CA 92869-3204
Phone 714-628-3300
2850 Se Powell Valley Rd
Gresham, OR 97080-1494
Gresham, OR 97080-1494
Phone 503-666-5050
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