Individual provider Active NPI

Ayla Nicole Szmurlo, PA

  • Medical Physician Assistant
  • Corona, CA
National Provider Identifier
1003457474
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
57315 Issued in CA
Practice address
2250 S Main St Ste 104
Corona, CA 92882-2538
Phone
(951) 737-1454
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 57315 CA Primary

Addresses

Primary practice location

2250 S Main St Ste 104
Corona, CA 92882-2538

Mailing address

PO Box 5089
Norco, CA 92860-8003
Phone (951) 808-6240

Other practice location 1

1820 Fullerton Ave Ste 115
Corona, CA 92881-3160
Phone (951) 817-5000

Other names 1

  • Ayla Nicole Hale Former name

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
I20191202002416 CA Practitioner - Physician Assistant 1951734185 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57315CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs Corona Inc PastSince Oct 1, 2019 Accepting new patients
Geoffrey Trenkle DO a Professional Medical Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ayla.szmurlo.p1@direct.cvma.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1003457474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5089",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928608003",
            "telephone_number": "951-808-6240",
            "fax_number": "951-738-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S MAIN ST STE 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822538",
            "telephone_number": "951-737-1454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Fullerton Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928813160",
            "country_code": "US",
            "telephone_number": "951-817-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZMURLO",
        "first_name": "AYLA",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "57315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYLA",
            "last_name": "HALE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.