Individual provider Active NPI

Nayeli Diane De la Paz

  • Physician Assistant
  • Pomona, CA
National Provider Identifier
1770127375
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA57690 Issued in CA
Practice address
255 E Bonita Ave Ste 101
Pomona, CA 91767-1923
Phone
(909) 593-7437
Fax
(909) 593-0318
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA57690 CA Primary

Addresses

Primary practice location

255 E Bonita Ave Ste 101
Pomona, CA 91767-1923

Mailing address

255 E Bonita Ave Ste 101
Pomona, CA 91767-1923
Phone (909) 593-7437

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200413000632 CA Practitioner - Physician Assistant 9931538014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garey Orthopedic Medical GroupGroup PAC ID 2961438643, 7 clinicians
Congregational HomesGroup PAC ID 6901907245, 19 clinicians

Practice addresses (Care Compare)

255 E Bonita Ave
Suite 101
Pomona, CA 91767-1923
Phone (909) 593-7437

2776 N Garey Ave
Pomona, CA 91767-1810

900 E Harrison Ave
Pomona, CA 91767-2075
Phone (909) 624-5061

Hospital & facility affiliations

  • Mission Home Health of Ontario, Inc Home health agency, Ontario, CA, CCN 559309
  • Casa Colina Hospital Hospital, Pomona, CA, CCN 050782
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
75.84
Promoting interoperability
99
Improvement activities
40
Cost
75.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
57690CAMDPharmacist
PA57690CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Garey Orthopedic Medical Group Physician Assistant CurrentSince Feb 29, 2020 Accepting new patients

Locations

255 E Bonita Ave
Bldg 1
Pomona, CA 91767
Phone (909) 524-1940

255 E Bonita Ave
Ste 101
Pomona, CA 91767
Phone (909) 593-7437

2776 N Garey Ave
Pomona, CA 91767
Phone (909) 593-7437

7777 Milliken Ave
Ste 101
Rch Cucamonga, CA 91730
Phone (909) 593-7437

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJECCA

Organizations & group practices 3

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1770127375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE STE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-593-7437",
            "fax_number": "909-593-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE STE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-593-7437",
            "fax_number": "909-593-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PAZ",
        "first_name": "NAYELI DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA57690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.