Karen Prychun, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

22700 Issued in CA

Practice address

4085 Governor Dr
San Diego, CA 92122-2522

Phone

(858) 888-7800

NPI assigned

Sep 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Karen Dvorkin Former name

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

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 and National Provider Directory roles.

• Marque Medical Clinic, Inc.

  • Urgent Care Clinic/Center
  • Newport Beach, CA
  • NPI 1538466107
  Medicare reassignment
• Marque Medical Clinic, Inc

  • Urgent Care Clinic/Center
  • Chula Vista, CA
  • NPI 1164303442
  NPD
• Tahoe Forest Hospital District

  • Multi-Specialty Clinic/Center
  • Truckee, CA
  • NPI 1750412300
  NPD (past)
• Renown Urgent Care LLC

  • Family Medicine Physician
  • Fernley, NV
  • NPI 1821043381

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1902155898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 GOVERNOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222522",
            "telephone_number": "858-888-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 GOVERNOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222522",
            "telephone_number": "858-888-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYCHUN",
        "first_name": "KAREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1366",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "22700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "DVORKIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacey Layne Pruitt
• Bailey Michelle Pruneda
• Mackenzie Prusack
• Natalie Prussak
• Sarah Prybylski, RN
• Phyllis Lynette Pryor, LVN
• Maureen F Prystas, RN, PHN
• Karen Heim Przybylski, L.AC.
• Kylie Sue Przymus
• Psalm 23 Assisted Living II

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.