Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kacie Kline Condon, PA-C

Individual provider Physician Assistant · NPI 1942924907

Kacie Kline Condon, PA-C is a Physician Assistant in Los Angeles, California. Qualified in 2022, 4 years ago. Practices with Irradiance Medical Group Inc, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

420 E 3rd St Ste 805
Los Angeles, CA 90013-1646
Phone: (213) 218-3915
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17271 Brookhurst St, Fountain Valley, CA 92708-3701 — (714) 531-2966

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61679 (CA)

Record details

NPI number1942924907
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Irradiance Medical Group Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Los Angeles