CAROLYN JO PRINA PA-C
NPI 1801575253
Physician Assistant - Medical in Elk Grove, CA

Active since July 13, 2023PECOS Enrolled
8170 LAGUNA BLVD STE 113, ELK GROVE, CA 95758(916) 478-6561 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2023, Jul 13, 2023 (2 updates tracked since 2023).

About Carolyn Jo Prina Pa-c NPPES

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

CAROLYN JO PRINA PA-C (NPI 1801575253) is an individual medical provider in Elk Grove, California, licensed in California (PA63000) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801575253
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCAROLYN JO PRINACredential: PA-C
Location Address8170 LAGUNA BLVD STE 113Elk Grove, CA 95758-7902
Mailing Address4620 San Antonio RdYorba Linda, CA 92886-7338 · (714) 296-7124
Sole ProprietorNo
Enumeration DateJuly 13, 2023
Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
NPI 1801575253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA63000
8170 LAGUNA BLVD STE 113, Elk Grove, CA 95758

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carolyn Jo Prina Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
8170 LAGUNA BLVD STE 113
ELK GROVE, CA 95758
Family Medicine
8170 LAGUNA BLVD STE 113
ELK GROVE, CA 95758
Family Medicine
8170 LAGUNA BLVD STE 113
ELK GROVE, CA 95758
Family Medicine
8170 LAGUNA BLVD STE 113
ELK GROVE, CA 95758
Physician Assistant
8170 LAGUNA BLVD STE 113
ELK GROVE, CA 95758
Physician Assistant
8170 LAGUNA BLVD STE 113
ELK GROVE, CA 95758
Clinic/Center (Urgent Care)
8170 LAGUNA BLVD STE 113
ELK GROVE, CA 95758
Family Medicine
8170 LAGUNA BLVD STE 113
ELK GROVE, CA 95758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Prina's NPI number?

The NPI number for Carolyn Prina is 1801575253. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Carolyn Prina located?

Carolyn Prina practices at 8170 Laguna Blvd Ste 113, Elk Grove, CA 95758. The listed phone number is (916) 478-6561.

What is Carolyn Prina's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carolyn Prina enrolled in Medicare?

Yes. Carolyn Prina is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolyn Prina was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.