Alyssa San Diego, PA-C
NPI 1194593376ActiveIndividual· Physician Assistant· Davenport, FL
Physician Assistant (PA-C) with Excel Pain and Spine LLC, practicing in Davenport, Florida. Enrolled in Medicare as practitioner - physician assistant. Boston Scientific Corporation reported $1,815 in payments in 2025, mostly travel and lodging.
Overview
| NPI | 1194593376 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Dec 18, 2023 |
| Last updated in NPPES | Mar 2, 2025 |
| Certified by provider | Mar 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Excel Pain and Spine LLCLakeland, FL · 15 clinicians
Industry payments (Open Payments)
- 2025$1,815 · 11 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $1,815 | 11 |
What the 2025 payments were for
- Travel and Lodging$1,159 · 4 payments
- Food and Beverage$656.39 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Davenport
- 1477521078
- 1528303799
- 1740844604
- 1861828998
- 1215083258
- 1255397873
- 1932682432
- 1033517669
- 1104336783
- 1194919399
- 1255446878
- 1467223347
All 25 physician assistants in Davenport · All physician assistants in Florida