Nicholas Joseph Pena, PA-C
NPI 1083176077ActiveIndividual· Physician Assistant· Ontario, CA
Physician Assistant (PA-C) with Providence Medical Foundation, practicing in Ontario, California. 126 Medicare patients in 2024, $11,996 paid; nearly all of their 380 Part D prescriptions were generic (91%).
Overview
| NPI | 1083176077 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Apr 1, 2019 |
| Last updated in NPPES | Mar 7, 2025 |
| Certified by provider | Mar 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 56636 | CA |
| Physician Assistant | 363A00000X | PA61575377 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 126 |
|---|---|
| Services billed | 255 across 41 procedure codes |
| Paid by Medicare | $11,996 |
Part D prescriptions in 2024
| Prescriptions (claims) | 380 · 416 30-day fills |
|---|---|
| Patients | 260 |
| Total drug cost | $4,819 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Providence Medical FoundationVictorville, CA · 1,466 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 38 physician assistants in Ontario · All physician assistants in California