Individual provider · Type 1 NPI

Kerianne McKenzie

Physician Assistant · Vista, CA

NPI number 1104530401 Active

Practice location

2067 W Vista Way Ste 250
Vista, CA 92083-6034

Call (951) 852-6334 Map

Mailing address

9835 Jake Ln Apt 11404
San Diego, CA 92126-2972

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1104530401

Kerianne McKenzie's National Provider Identifier is 1104530401, issued on Jan 11, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Vista, CA. The record was last updated on Nov 12, 2025.