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Provider Profile

Kellie J. Matusalem, MS, PA-C

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At a glance

About Kellie Matusalem

Kellie J. Matusalem, MS, PA-C is a physician assistant based in San Diego, CA. The provider's National Provider Identifier (NPI) is 1194121954.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2014

Specialty

Credentials & Licensing

CA · Physician AssistantPhysician Assistant Board
No. 51956CurrentExpires Oct 2027Since 2014
NPINational Provider Identifier
1194121954Issued 2014

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Kellie J. Matusalem, MS specialize in?

Kellie J. Matusalem, MS is a physician assistant in San Diego, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Kellie J. Matusalem, MS located?

Kellie J. Matusalem, MS is listed at 3750 Convoy St Ste 201, San Diego, CA 92111. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Kellie J. Matusalem, MS's phone number?

The number on file is (858) 278-8300. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Kellie J. Matusalem, MS's NPI number?

Kellie J. Matusalem, MS's National Provider Identifier is 1194121954. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kellie J. Matusalem, MS train?

Kellie J. Matusalem, MS attended Other, graduating in 2014. This comes from the CMS National Downloadable File.

CMS public data

How long has Kellie J. Matusalem, MS been practicing?

Kellie J. Matusalem, MS has 12 years experience. Calculated from a graduation year of 2014, reported in the CMS National Downloadable File.

CMS public data

Has Kellie J. Matusalem, MS confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kellie J. Matusalem, MS. If this is you, claiming it is free.

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