Individual provider · Type 1 NPI

Kelly Denise Medina, PA-C

Physician Assistant · Moreno Valley, CA

NPI number 1013587666 Active

Practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Call (951) 486-4000 Map

Mailing address

333 Murfreesboro Pike
Nashville, TN 37210-2834

Other practice locations

  • 285 Twin Oaks Dr, Nashville, TN 37211-1140 · (951) 567-3097
  • 333 Murfreesboro Pike, Nashville, TN 37210-2834 · (615) 248-1225

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X61659 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013587666

Kelly Denise Medina, PA-C's National Provider Identifier is 1013587666, issued on Jun 27, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Feb 27, 2025.