ALYSSA CODILLA SORIANO
NPI 1366254633
Physician Assistant in Carson, CA

Active since January 23, 2025
1000 E DOMINGUEZ ST STE 110, CARSON, CA 90746(310) 830-4561 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2025, Mar 21, 2025 (2 updates tracked since 2025).

About Alyssa Codilla Soriano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA CODILLA SORIANO (NPI 1366254633) is an individual physician assistant in Carson, California and active in the NPI registry since January 2025. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1366254633
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA CODILLA SORIANO
Location Address1000 E DOMINGUEZ ST STE 110Carson, CA 90746-3615
Mailing Address1000 E Dominguez St Ste 110Carson, CA 90746-3615
Sole ProprietorYes
Enumeration DateJanuary 23, 2025
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
NPI 1366254633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
1000 E DOMINGUEZ ST STE 110, Carson, CA 90746

Secondary Practice Location 1

Location 1636 Broadway Ste 25San Diego, CA 92101-5404 · Phone (888) 538-2159

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1000 E DOMINGUEZ ST STE 110
CARSON, CA 90746
Counselor (Mental Health)
1000 E DOMINGUEZ ST STE 110
CARSON, CA 90746

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366254633, enumerated as an "individual" on January 23, 2025.

The provider is located at 1000 E DOMINGUEZ ST STE 110 CARSON, CA 90746 and the phone number is (310) 830-4561.

Physician Assistant with taxonomy code 363A00000X.