ZOLISSA FERNANDO (PA-C) – Physician Assistant, NPI 1528095866
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for ZOLISSA FERNANDO (PA-C)
14427 Chase St
Ste.100
Panorama City, CA 914023020
Phone: (818) 830-7751
Fax: (818) 891-7892
Type: Location
14427, Chase Street, Panorama City, Los Angeles, Los Angeles County, California, 91402, United States
STE.100
PANORAMA CITY, CA 914023020
Phone: (818) 830-7751
Fax: (818) 891-7892
Type: Location
26930, Palacete Drive, Rancho Santa Clarita, Santa Clarita, Los Angeles County, California, 91354, United States
VALENCIA, CA 913542329
Phone: (661) 607-1820
Type: Mailing
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3203
Type: Mailing
23501 CINEMA DR STE 100
VALENCIA, CA 913555429
Phone: (661) 367-9200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $383.
Total Amount is formed as General ($383) + Research ($0) + Ownership ($0) = $383.
Last reported payment date: 2024-03-02 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($115).
Total Amount
$383
General + Research + Ownership
Payments
18
Total payment records
General Amount
$383
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-02
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050627000710 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91402)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| Physical Therapist In Private Practice | NV | |
| Internal Medicine | CA | |
| - | CA | |
| Internal Medicine, Geriatric Medicine | CA |
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