Individual provider · Type 1 NPI

Kristy Elaine Matschullat, PA-C

Physician Assistant · Fresno, CA

NPI number 1063702116 Active

Practice location

1780 E Bullard Ave
Fresno, CA 93710-5861

Call (800) 492-4227 Map

Fax (559) 646-3652

Mailing address

2100 Powell Sreet Suite 900
Emeryville, CA 94608-1803

Other practice locations

  • 1425 N Randall Rd, Elgin, IL 60123-2300 · (847) 742-9800
  • 17121 S Golden Rd Ste C150, Golden, CO 80401-7301 · (720) 506-1332

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA2026-0048 (NM)
Physician Assistant Primary 363A00000XPA64279 (CA)
Physician Assistant 363A00000XPA0604 (NV)
Physician Assistant 363A00000X085003971 (IL)
Physician Assistant 363A00000XPA.0006468 (CO)

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 1063702116

Kristy Elaine Matschullat, PA-C's National Provider Identifier is 1063702116, issued on Apr 11, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fresno, CA. The record was last updated on May 28, 2026.