Active NPI
Ayla Nicole Szmurlo, PA
- Medical Physician Assistant
- Corona, CA
National Provider Identifier
1003457474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 57315
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57315 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs Corona Inc | Past | Accepting new patients | |
| Geoffrey Trenkle DO a Professional Medical Corporation | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Norco, CA
- NPI 1306033709
-
- Otolaryngology Physician
- Los Angeles, CA
- NPI 1992124978
-
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.