Alyssa Codilla Soriano

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1000 E Dominguez St Ste 110
Carson, CA 90746-3615

Phone

(310) 830-4561

NPI assigned

Jan 23, 2025

Last updated

May 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Care First Mobile Medical Group Inc

  • Primary Care Nurse Practitioner
  • San Diego, CA
  • NPI 1538871678
  NPD

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1366254633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E DOMINGUEZ ST STE 110",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DOMINGUEZ ST STE 110",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463615",
            "telephone_number": "310-830-4561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Broadway Ste 25",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921015404",
            "country_code": "US",
            "telephone_number": "888-538-2159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "ALYSSA",
        "middle_name": "CODILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Smith II
• Sharese Smith
• Tina Smith, MPH, CHWC
• Joy Song
• Allyl Alejan Soriano, MSN, APRN, FNP-C
• Kimberly Baclayon Soriano
• Javier Soto Jr.
• Deionna Lakeisha Souder
• Aida Marie Souleiman, NURSE PRACTITIONER
• South Bay Dependable Home Caregivers

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.