Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Divya Lakshmi Kolli, PA-C

Individual provider Medical Physician Assistant · NPI 1811340391

Divya Lakshmi Kolli, PA-C is a Physician Assistant in Yuba City, California. Qualified in 2015, 11 years ago. Practices with Ampla Health, a 106-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

935 Market St
Yuba City, CA 95991-4217
Phone: (530) 674-4261
Fax: (530) 674-4269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 53445 (CA)

Record details

NPI number1811340391
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2016
Last updated in NPPESMay 31, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ampla Health — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Yuba City