Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE JOHNSON MATUSALEM, MS, PA-C
ActiveKELLIE JOHNSON MATUSALEM, MS, PA-C is a Physician Assistant healthcare provider located in SAN DIEGO, California. NPI 1194121954 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAN DIEGO, CA
Registration Details
- NPI Number
- 1194121954
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2014 (11.727965018931 yrs)
- Last Updated
- Dec 21, 2021
- License
-
51956 (CA)
Practice Information
- Address
-
3750 CONVOY ST STE 201SAN DIEGO, CA, 921113770Browse CA providers · Browse ZIP 92111
- Phone
- 8582788300
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT KIERNAN | P.A. | 1538164702 |
| EMILY CHRISTINE RALL | PA-C | 1407855828 |
| NATHALIE CALLAHAN EGAN | P.A. | 1770583262 |
| MR. JEREMY ANDREW ADLER | PA-C | 1538154786 |
| MICHAEL J. NELMS | PA-C | 1235113580 |
| MR. PATRICK MICHAEL HARE | PA-C | 1427033216 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.