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

Kaisa Lyn Dodge, PA

Individual provider Medical Physician Assistant · NPI 1992485643

Kaisa Lyn Dodge, PA is a Medical Physician Assistant in Apple Valley, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

18300 US Highway 18
Apple Valley, CA 92307-2206
Phone: (760) 242-2311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 63525 (CA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1992485643
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 18, 2023
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024

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