Individual provider · Type 1 NPI

Kristen Petti, PA-C

Physician Assistant · Moreno Valley, CA

NPI number 1548828809 Active

Practice location

26600 Cactus Ave
Moreno Valley, CA 92555-3901

Mailing address

6715 Goldy St
Corona, CA 92880-9281

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X67696 (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 1548828809

Kristen Petti, PA-C's National Provider Identifier is 1548828809, issued on Jun 2, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Mar 10, 2026.