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

Kelly B Nguyen, PA-C

Individual provider Physician Assistant · NPI 1730892803

Kelly B Nguyen, PA-C is a Physician Assistant in San Francisco, California. Qualified in 2025, 1 year ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2023
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

3838 California St Rm 805
San Francisco, CA 94118-1510
Phone: (415) 600-5400
Fax: (415) 387-0730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1310 Club Dr, Vallejo, CA 94592-1187 — (707) 638-5809

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA66630 (CA)

Record details

NPI number1730892803
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2023
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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