Active NPI
Silvia Maria Corzo, P.A.-C
- Medical Physician Assistant
- Sequim, WA
National Provider Identifier
1831526359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 12255
- Practice address
- 522 N 5TH Ave
Sequim, WA 98382-3079 - Phone
- (360) 868-6435
- NPI assigned
- Sep 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 12255 | CA | Primary |
Addresses
Primary practice location
522 N 5TH Ave
Sequim, WA 98382-3079
Mailing address
522 N 5TH Ave
Sequim, WA 98382-3079
Phone (360) 868-6435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12255 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380412800000",
"number": "1831526359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 N 5TH AVE",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823079",
"telephone_number": "360-868-6435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 N 5TH AVE",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823079",
"telephone_number": "360-868-6435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORZO",
"first_name": "SILVIA",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"credential": "P.A.-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-29",
"last_updated": "2013-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "12255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sequim, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.