Individual provider Active NPI

Lorissa J Lorenzo, PA-C

  • Medical Physician Assistant
  • McKinleyville, CA
National Provider Identifier
1053970327
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA56831 Issued in CA
Practice address
3103 Concorde Dr
McKinleyville, CA 95519-9305
Phone
(707) 822-3376
Fax
(707) 822-5053
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 PA56831 CA Primary

Addresses

Primary practice location

3103 Concorde Dr
McKinleyville, CA 95519-9305

Mailing address

1575 S Railroad Ave
Crescent City, CA 95531-6821
Phone (707) 464-8335

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
I20190811000008 CA Practitioner - Physician Assistant 2567799752 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
Telehealth
Offers telehealth services
Group practices
North Pacific Dermatology a Medical CorporationGroup PAC ID 4981704723, 7 clinicians

Practice addresses (Care Compare)

1575 S Railroad Ave
Crescent City, CA 95531-6821
Phone 7074648335212

Hospital & facility affiliations

  • Mad River Community Hospital Hospital, Arcata, CA, CCN 050028

Merit-based Incentive Payment System (MIPS)

Final score
90.38 of 100Reported as group
Quality
92.6
Improvement activities
40
Cost
77.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA56831CAMDMedical Physician Assistant

Organizations & group practices 1

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 1

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1053970327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 S RAILROAD AVE",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955316821",
            "telephone_number": "707-464-8335",
            "fax_number": "707-464-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 CONCORDE DR",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955199305",
            "telephone_number": "707-822-3376",
            "fax_number": "707-822-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "LORISSA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA56831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinleyville, CA

Sources for this page

Verify at the official NPI Registry.