Collin Bradley Torsak

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2696 Issued in NV

Practice address

623 Coral Reef Ave
Carlsbad, CA 92011-3265

Phone

(760) 803-7803

NPI assigned

May 24, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Merit-based Incentive Payment System (MIPS)

Final score

70.69 of 100Reported as group

Quality

42.71

Promoting interoperability

100

Improvement activities

40

Cost

59.61

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Yee Advanced Orthopedics and Sports Medicine PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Las Vegas, NV
  • NPI 1114029287
  Medicare reassignment NPD
• Vituity-Nevada Medical Services Koury & Partners PC

  • Emergency Medicine Physician
  • Incline Village, NV
  • NPI 1396585154
  Medicare reassignment
• Vituity-Nevada Medical Services Koury & Partners PC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1417797275
  NPD
• Vituity-Nevada Medical Services Koury & Partners PC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1669272183
  NPD

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1306411137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 CORAL REEF AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920113265",
            "telephone_number": "760-803-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 CORAL REEF AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920113265",
            "telephone_number": "760-803-7803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7195 Advanced Way",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891133691",
            "country_code": "US",
            "telephone_number": "702-740-5327",
            "fax_number": "702-740-5327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORSAK",
        "first_name": "COLLIN",
        "middle_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Karla Torres, LMFT
• Yadira Torres
• Yesenia Elizabeth Torres
• Torrey Pines Physician Assistant Surgical Services, Inc
• Elmer Ernesto Torrez Venaderos
• Teresa L Toth
• Julia Tower
• David J Tracy, D.D.S.
• Michael Kennedy Tracy, M.D.
• Patrick Tracy, PHARMD

• Physician Assistant in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.