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

Nyssa Fromuth, PA

Individual provider Physician Assistant · NPI 1568814408

Nyssa Fromuth, PA is a Physician Assistant in Covina, California. Qualified in 2015, 11 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
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

420 W Rowland St
Covina, CA 91723-2933
Phone: (626) 331-6411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 880 S Atlantic Blvd Ste 205, Monterey Park, CA 91754-4782 — (626) 289-0178

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA53498 (CA)

Record details

NPI number1568814408
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 3, 2016
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Covina