NELSON NUNEZ (PA) – Physician Assistant, NPI 1427646116

NELSON NUNEZ (PA) is a healthcare provider. based in South gate, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA19277 (TX). The NPI Number for NELSON NUNEZ (PA) is 1427646116

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
NELSON NUNEZ (PA)
NPI
1427646116
Phone
(323) 564-5579
Address
PO BOX 1364
Enumeration Date
7 January 2021
Last Update Date
17 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8174888998
Graduation Year
2021 (5 years ago)
PAC ID
4880129121
Group Practice PAC ID
5193040772
Professional Enrollment ID
I20251016003469
Address ID
TX760403963EU200XXWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:5State licenses:2Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for NELSON NUNEZ (PA)

  • PO BOX 1364

    SOUTH GATE, CA 902801364

    Phone: (323) 564-5579

    Type: Mailing

  • 200 WESTPARK WAY

    EULESS, TX 760403963

    Phone: (817) 488-8998

    Fax: (855) 295-2686

    Type: Location

  • 10925 RYERSON AVE

    DOWNEY, CA 902412037

    Phone: (323) 450-6595

    Type: Mailing

  • 1513 S GRAND AVE STE 310

    LOS ANGELES, CA 900153075

    Phone: (213) 260-4375

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $571.

Total Amount is formed as General ($571) + Research ($0) + Ownership ($0) = $571.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($235).

Total Amount

$571

General + Research + Ownership

Payments

21

Total payment records

General Amount

$571

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241125000444IPhysician AssistantCATBD
I20251016003469IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90280)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193040772View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Mental Health CounselorTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerLA
Clinical PsychologistTX
Mental Health CounselorVA
Physician AssistantTX

Reviews

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Frequently asked questions

Can I use this page to confirm NELSON NUNEZ (PA)'s NPI?
Yes. NELSON NUNEZ (PA) is listed with NPI 1427646116 in the public NPI dataset.
Can I rely on NELSON NUNEZ (PA) being an active provider?
As of the registry snapshot, NELSON NUNEZ (PA) is marked active.
What is NELSON NUNEZ (PA) best known for clinically?
Directory data describes NELSON NUNEZ (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for NELSON NUNEZ (PA)?
NELSON NUNEZ (PA)'s geographic hint is South Gate, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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