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

Elizabeth Koprucki

Individual provider Physician Assistant · NPI 1003559907

Elizabeth Koprucki is a Physician Assistant in Newport Beach, California. Qualified in 2022, 4 years ago. Practices with Somagen Healthcare Inc, a 54-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

2075 San Joaquin Hills Rd
Newport Beach, CA 92660-6505
Phone: (651) 373-6604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1003559907
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2022
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Somagen Healthcare Inc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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