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

Kayanna M. Matlock, PA-C

Individual provider Physician Assistant · NPI 1831666338

Kayanna M. Matlock, PA-C is a Physician Assistant in El Centro, California. Licensed in California and Nevada. Registered with an NPI since 2018.

Licensed in
CA, NV
In the registry since
2018
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

852 Danenberg Dr
El Centro, CA 92243-8517
Phone: (760) 352-2257
Fax: (760) 352-4579
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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 59202 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA2078 (NV)

Record details

NPI number1831666338
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2018
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021

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