Individual provider Active NPI

Zolissa Fernando, PA-C

  • Physician Assistant
  • Santa Clarita, CA
National Provider Identifier
1528095866
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15625 Issued in CA
Practice address
17909 Soledad Canyon Rd # 100
Santa Clarita, CA 91387-3210
Phone
(661) 367-3500
Fax
(661) 367-3539
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15625 CA Primary

Addresses

Primary practice location

17909 Soledad Canyon Rd # 100
Santa Clarita, CA 91387-3210

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

14427 Chase St
Ste.100
Panorama City, CA 91402-3020
Phone (818) 830-7751

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
I20050627000710 CA Practitioner - Physician Assistant 8628013943 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Southern California Keck School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

23501 Cinema Dr
Suite 100
Valencia, CA 91355-5429
Phone (661) 367-9200

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA15625CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group, Inc CurrentSince Apr 9, 2024 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 10, 2023 Accepting new patients
Beaver Medical Group P C CurrentSince Apr 9, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 10, 2023 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Apr 9, 2024 Accepting new patients
Beaver Medical Group P C CurrentSince Apr 9, 2024 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

24221 Calle de la Louisa
Ste 200
Laguna Hills, CA 92653
Phone (949) 465-8155

24221 Calle de la Louisa
Ste 400
Laguna Hills, CA 92653
Phone (949) 465-8155

4910 Airport Plaza Dr
Ste 210
Long Beach, CA 90815
Phone (562) 421-3727

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

23501 Cinema Dr
Ste 100
Valencia, CA 91355
Phone (661) 255-2880

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Interoperability endpoints

  • Direct secure messaging: zfernando207874@westdirect.optum.com

Organizations & group practices 10

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1528095866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17909 SOLEDAD CANYON RD # 100",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913873210",
            "telephone_number": "661-367-3500",
            "fax_number": "661-367-3539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14427 Chase St",
            "address_2": "Ste.100",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914023020",
            "country_code": "US",
            "telephone_number": "818-830-7751",
            "fax_number": "818-891-7892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "ZOLISSA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.