Individual provider Active NPI

Selenia Sarina Corado, MPA, PA-C

  • Medical Physician Assistant
  • Lake Forest, CA
National Provider Identifier
1295545622
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
22481 Aspan St Ste a
Lake Forest, CA 92630-1648
Phone
(949) 240-2272
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 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 AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

22481 Aspan St Ste a
Lake Forest, CA 92630-1648

Mailing address

31351 Rancho Viejo Rd Ste 201
San Juan Capistrano, CA 92675-1858

Other names 1

  • Selenia Sarina Corado-Lopez Professional 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260507000634 CA Order and Referring Only - Family PracticePractitioner - Family Practice 5092283101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Camino Health Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1295545622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31351 RANCHO VIEJO RD STE 201",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22481 ASPAN ST STE A",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301648",
            "telephone_number": "949-240-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORADO",
        "first_name": "SELENIA",
        "middle_name": "SARINA",
        "credential": "MPA, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELENIA",
            "last_name": "CORADO-LOPEZ",
            "middle_name": "SARINA",
            "credential": "MPA, PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.