Individual provider · Type 1 NPI

Kierra McCoy

Physician Assistant · Riverside, CA

NPI number 1396428751 Active

Practice location

4500 Brockton Ave Ste 107
Riverside, CA 92501-4006

Mailing address

310 S Jefferson St Apt 4E
Placentia, CA 92870-8442

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA67493 (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 1396428751

Kierra McCoy's National Provider Identifier is 1396428751, issued on Aug 10, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Riverside, CA. The record was last updated on Apr 24, 2026.