Tavis Valenzuela, PA-S is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Camarillo, California. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Regents Of The Univ Of Ca and his current practice location is
2748 Via Corza, Camarillo, California. You can reach out to his office (for appointments etc.) via phone at
(805) 312-4700.
Tavis Valenzuela is licensed to practice in California (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356158422.
Provider's Profile
| Full Name | Tavis Valenzuela |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 2748 Via Corza, Camarillo, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tavis Valenzuela graduated from nursing school in 2025
NPI Data:
- NPI Number: 1356158422
- Provider Enumeration Date: 12/12/2024
- Last Update Date: 12/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234611922
- Enrollment ID: I20260303001846
Medical Identifiers
Medical identifiers for Tavis Valenzuela such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356158422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Regents Of The Univ Of Ca | 3375456619 | 1602 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tavis Valenzuela is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tavis Valenzuela, PA-S
2748 Via Corza,
Camarillo, CA 93010-2233
Ph: (805) 312-4700 | Tavis Valenzuela, PA-S
2748 Via Corza,
Camarillo, CA 93010-2233
Ph: (805) 312-4700 |
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