Nathalie Marie De Vera, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA63686 Issued in CA

Practice address

5 Hutton Centre Dr Ste 950
Santa Ana, CA 92707-8744

Phone

(445) 274-4233

NPI assigned

May 3, 2023

Reactivated

Dec 19, 2023

Last updated

Mar 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Doc Integrated Med, PC

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1396526026
  Medicare reassignment
• California Dermatology Institute PC

  dba California Dermatology Institute

  • Non-Pharmacy Dispensing Site
  • Santa Ana, CA
  • NPI 1134813348
  NPD
• California Dermatology Institute PC

  dba California Dermatology Institute

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1235671389
  NPD (past)
• F Al Faisal MD Inc

  • Neurology Physician
  • Burbank, CA
  • NPI 1649373622
  NPD (past)
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1366131591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HUTTON CENTRE DR STE 950",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078744",
            "telephone_number": "445-274-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HUTTON CENTRE DR STE 950",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078744",
            "telephone_number": "445-274-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "NATHALIE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "deactivation_date": "2023-12-13",
        "reactivation_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA63686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony De Los Reyes
• Verenice De Los Santos
• Carmina De Loza, PHARMACY TECHNICIAN
• Patricia De Marco Centeno, MD
• Rebecca De Ruyter, P.T.
• Daisy Dean
• Tina Dean, AA IN HUMAN SERVICES
• Olga Deaquino
• Bill Ray Deatherage, PSY.D., MFTI
• Cecilia Manio Decena, RN

• Medical Physician Assistant in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.