WILLIAM FAZZALARO PA-C NPI 1912065228

NPI Information

  • NPI: 1912065228
  • Provider Name: WILLIAM FAZZALARO, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 24411 HEALTH CENTER DR STE 680
    LAGUNA HILLS, CA
    ZIP 92653
  • Phone: (949) 268-4568

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NPI Details

William Fazzalaro, PA-C is a surgical physician assistant in Laguna Hills, CA with 27 years of experience. William Fazzalaro, PA-C NPI is 1912065228. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24411 HEALTH CENTER DR STE 680
LAGUNA HILLS, CA
ZIP 92653-692
Phone: (949) 268-4568
Fax: (949) 455-2795

The NPI 1912065228 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Harvest of vein using an endoscope (HCPCS:33508)
  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Removal of lymph nodes of chest cavity using an endoscope (HCPCS:32674)

The enumeration date for this NPI number is 12/6/2006 and was last updated on 2/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA16754CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11750339479OTHERCALIFORNIAGROUP NPI
2PA16754OTHERCALIFORNIALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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