Individual provider Active NPI

Korynn Sycip

  • Physician Assistant
  • Whittier, CA
National Provider Identifier
1770303034
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
16200 Amber Valley Dr
Whittier, CA 90604-4051
Phone
(562) 947-8755
NPI assigned
Oct 11, 2024
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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 Primary

Addresses

Primary practice location

16200 Amber Valley Dr
Whittier, CA 90604-4051

Mailing address

16200 Amber Valley Dr
Whittier, CA 90604-4051

Other names 1

  • Korynn Aguilar Former 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021003601 CA Practitioner - Physician Assistant 3779071873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

729 N Medical Ctr Dr W
Suite 101
Clovis, CA 93611-6880
Phone (559) 439-7633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66104CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Sep 6, 2025 Accepting new patients
Community Foundation Medical Group CurrentSince Sep 6, 2025 Accepting new patients
Community Foundation Medical Group Current Accepting new patients

Locations

729 N Medical Center Dr W
Ste 101
Clovis, CA 93611
Phone (559) 439-7631

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1770303034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 AMBER VALLEY DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906044051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 AMBER VALLEY DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906044051",
            "telephone_number": "562-947-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYCIP",
        "first_name": "KORYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORYNN",
            "last_name": "AGUILAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.