Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

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.

See every abbreviation used in this directory →

Practice location Address checks out

4561 Dickey Dr
LA Mesa, CA 91941-5735
Phone: (619) 328-3025
Fax: (619) 312-0528
Show map & directions

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

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Southern California Permanente Medical Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 11242 clinicians in the practice; 12 are shown here.

Other providers in LA Mesa