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

Individual provider Physician Assistant · NPI 1063613958

Keli Layton-Cunnigan, PA is a Physician Assistant in Diamond Bar, California. Qualified in 2000, 26 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2007
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

1514 Valley Vista Dr
Diamond Bar, CA 91765-3929
Phone: (909) 860-1144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17043 Main St, Hesperia, CA 92345-6055 — (760) 241-6666

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15870 (CA)

Record details

NPI number1063613958
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Diamond Bar