Paulina Marie Acevedo, PA-C
Individual provider Active NPI Physician Assistant · Glendale, CA
NPI 1306364518 · NPPES record last updated Mar 24, 2026
Key facts
- NPI
- 1306364518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 54755 (CA)
- Practice address
- 225 W Broadway
Glendale, CA 91204-1331 - Phone
- (818) 545-7117
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Csi Medical Group
Healthcare Partners Affiliates Medical Group
Practice addresses (Care Compare)
1127 Wilshire Blvd
Suite 600
Los Angeles, CA 90017-3907
Phone (213) 278-0021
1365 S Grand Ave
Glendora, CA 91740-5047
Phone (626) 857-2580
1377 S Grand Ave
Glendora, CA 91740-5047
Phone (626) 857-2500
225 W Broadway
Suite 100
Glendale, CA 91204-1393
Phone (818) 545-7117
824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210114000931 | CA | Practitioner - Physician Assistant | 8123431012 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54755 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current |
Accepting new patients | |
| Beverly Hills Dermatology Surgery Center | Past | Accepting new patients | |
| BH Dermatology Management Inc. | Past |
Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
Interoperability endpoints
- pto214324@westdirect.optum.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 54755 | CA | Yes |
Addresses
Primary practice location
225 W Broadway
Glendale, CA 91204-1331
Mailing address
2346 Harwood St
Los Angeles, CA 90031-1107
Phone (213) 880-0949
Other practice location 1
1127 Wilshire Blvd Ste 600
Los Angeles, CA 90017-3907
Phone (213) 278-0021
Other practice location 2
289 W Huntington Dr Ste 208
Arcadia, CA 91007-3497
Phone (626) 446-8809
Other practice location 3
18113 Magnolia St
Fountain Valley, CA 92708-5647
Phone (657) 204-9510
Other names
- Paulina To
Other providers in Glendale, CA
- Access Laboratories, Inc
- Access Wound Care and Podiatry Care Clinic
- Accumed Inc
- Accumed Inc
- Mayra Acevedo
- Achieving Milestones Pediatric Therapy, Inc
- Acosta Medical Group, Inc.
- Ana Acosta
- Ignacio Acosta
- Kimberly Acosta
All providers in Glendale, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.