Individual provider · Type 1 NPI

Kelsie Mothersead

Surgical Physician Assistant · Newport Beach, CA

NPI number 1508555210 Active

Practice location

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985

Fax (949) 630-4900

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

81 other providers at this address

Other surgical physician assistant providers in Newport Beach

See all in Newport Beach →

About NPI 1508555210

Kelsie Mothersead's National Provider Identifier is 1508555210, issued on May 8, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Newport Beach, CA. The record was last updated on Jun 26, 2026.