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

Mykola Alexander Prisichenko

Individual provider Physician Assistant · NPI 1982464624

Mykola Alexander Prisichenko is a Physician Assistant in Irvine, California. Qualified in 2023, 3 years ago. Practices with Portola Medical Services PC, a 23-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

25 Pacifica Apt 6408
Irvine, CA 92618-3367
Phone: (616) 581-8989
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA64439 (CA)

Record details

NPI number1982464624
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2024
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Portola Medical Services Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Irvine