Carolyn Jo Prina, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA63000 Issued in CA

Practice address

8170 Laguna Blvd Ste 113
Elk Grove, CA 95758-7902

Phone

(916) 478-6561

NPI assigned

Jul 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Capitol Urgent Care Inc

  • Urgent Care Clinic/Center
  • Sacramento, CA
  • NPI 1508133208
  Medicare reassignment
• Elk Grove Urgent Care Inc

  • Urgent Care Clinic/Center
  • Elk Grove, CA
  • NPI 1285812024
  Medicare reassignment

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1801575253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 SAN ANTONIO RD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867338",
            "telephone_number": "714-296-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 LAGUNA BLVD STE 113",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587902",
            "telephone_number": "916-478-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINA",
        "first_name": "CAROLYN",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA63000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veva Rachelle Mae Preszler, ASSOCIATES
• Nariah Price
• Virgil Marcus Price Jr.
• Francisco J Prieto, M.D.
• Prime Essential Health Inc
• Vernon Everett Proctor, LMFT
• Prodigy Rehabilitation Group Inc.
• PS Gill DDS Inc
• Psychnp Consultants, Inc
• Psychnp Consultants, Inc

• Medical Physician Assistant in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.