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

Kellan Kalbaugh, PA-C

Individual provider Medical Physician Assistant · NPI 1194343731

Kellan Kalbaugh, PA-C is a Physician Assistant in San Luis Obispo, California. Graduated from University of Nevada School of Medicine in 2021, 5 years ago. Practices with James J Lynch M D Ltd, a 79-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
University of Nevada School of Medicine
Licensed in
CA
In the registry since
2020
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

1941 Johnson Ave Ste 101
San Luis Obispo, CA 93401-4154
Phone: (805) 782-8844
Fax: (805) 782-8859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 310 S Halcyon Rd Ste 105, Arroyo Grande, CA 93420-3839 — (805) 782-8844
  • 1941 Johnson Ave Ste 102, San Luis Obispo, CA 93401-4174 — (805) 782-8844

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 60114 (CA)

Record details

NPI number1194343731
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 9, 2020
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice James J Lynch M D Ltd — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in San Luis Obispo