Alyssa Loeffler, PA-C
Physician Assistant, Medical in San Diego, CA. Individual provider (NPI-1).
NPI number1619699014
StatusActive
Last updated in NPPESMar 16, 2026
Details
- NPI
- 1619699014
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Loeffler
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2022
- Certification date
- Mar 16, 2026
- Last updated
- Mar 16, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA226018 | OR | Yes |
Other names
- Alyssa Connolly (Former Name)
Practice location
3900 5th Ave Ste 140San Diego, CA 92103-3198
Phone 858-554-1212 · Fax 858-795-1195
Mailing address
9850 Genesee Ave Ste 320La Jolla, CA 92037-1208
Phone 858-554-1212 · Fax 858-795-1195
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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