Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Elsissy, PA

Individual provider Athletic Trainer · NPI 1265823322

Amy Elsissy, PA is a Physician Assistant in Colton, California. Qualified in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Minnesota.

Years since qualifying
9
Licensed in
CA, MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1801
Phone: (909) 580-3390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1004 Cato Dr, Albert Lea, MN 56007-3868 — (715) 892-4425

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 55231 (CA)
Athletic Trainer Taxonomy 2255A2300X · Licence 2667 (MN)

Record details

NPI number1265823322
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 11, 2015
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing address1901 W Lugonia Ave Ste 230, Redlands, CA 92374-9705

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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