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

Individual provider Physician Assistant · NPI 1780158733

Kathryn Nicole Smiley, PA-C is a Physician Assistant in San Diego, California. Graduated from George Washington University School of Medicine in 2019, 7 years ago. Practices with Rady Children's Hospital San Diego, a 161-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Virginia.

Years since qualifying
7
Trained at
George Washington University School of Medicine
Licensed in
CA, VA
In the registry since
2019
Specialties on file
2
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

3030 Childrens Way
San Diego, CA 92123-4232
Phone: (858) 966-6795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 — (858) 554-1212

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA59476 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 0110006742 (VA)

Record details

NPI number1780158733
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2019
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Rady Children'S Hospital San Diego — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in San Diego