Individual provider Active NPI

Patricia Mary Korszyk, PA-C

  • Physician Assistant
  • Loma Linda, CA
National Provider Identifier
1972061729
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56638 Issued in CA
Practice address
11370 Anderson St Ste B-100
Loma Linda, CA 92354-3450
Phone
(909) 558-4800
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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 56638 CA Primary

Addresses

Primary practice location

11370 Anderson St Ste B-100
Loma Linda, CA 92354-3450

Mailing address

PO Box 143
Mira Loma, CA 91752-0143
Phone (951) 790-6191

Other practice location 1

162 N Santa Fe St
Hemet, CA 92543-4451
Phone (951) 652-8591

Other names 1

  • Patricia Mary Soltero 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
I20190726000173 CA Practitioner - Physician Assistant 2567630536 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perpetual Wound RescueGroup PAC ID 3274034350, 9 clinicians
Wound Docs ApcGroup PAC ID 2860928629, 23 clinicians

Practice addresses (Care Compare)

Anaheim, CA 92801
Phone (714) 273-7672

1703 Termino Ave
Suite 106
Long Beach, CA 90804-2126
Phone (562) 800-3321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56638CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince May 25, 2022 Accepting new patients
Perpetual Wound Rescue CurrentSince Oct 1, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 25, 2022 Accepting new patients
New Hope Podiatry Group Inc. PastSince Dec 29, 2024 Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

1100 E Orangethorpe Ave
Ste 200R
Anaheim, CA 92801
Phone (714) 273-7672

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

Interoperability endpoints

  • Direct secure messaging: pkorszyk257551@direct.llu.edu

Organizations & group practices 8

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1972061729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "MIRA LOMA",
            "state": "CA",
            "postal_code": "917520143",
            "telephone_number": "951-790-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST STE B-100",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543450",
            "telephone_number": "909-558-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 N Santa Fe St",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925434451",
            "country_code": "US",
            "telephone_number": "951-652-8591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORSZYK",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "SOLTERO",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.