MR. EDSEL CONDEZ (P.A., M.M.S.) – Physician Assistant, NPI 1073978680
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MR. EDSEL CONDEZ (P.A., M.M.S.)
311 W I ST
LOS BANOS, CA 936353479
Phone: (209) 826-2222
Type: Mailing
18927 33RD AVE NE
LAKE FOREST PARK, WA 981552527
Phone: (206) 913-8726
Type: Location
9710 BRIMHALL RD
BAKERSFIELD, CA 933122779
Phone: (661) 829-6747
Type: Location
823 GATEWAY CENTER WAY
SAN DIEGO, CA 921024541
Phone: (619) 515-2300
Type: Mailing
1809 NATIONAL AVE
SAN DIEGO, CA 921132113
Phone: (619) 515-2300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171114003563 | I | Physician Assistant | CA | TBD |
| I20231122001848 | I | Physician Assistant | WA | TBD |
| I20240116001463 | I | Physician Assistant | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 99 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 57 | 14 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 36 | 31 | $0 |
| 81003 | Automated urinalysis test | 27 | 27 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 93635)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| Physician Assistant | CA |
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