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

Kelly Denise Medina, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013587666

Kelly Denise Medina, PA-C is a Physician Assistant in Moreno Valley, California. Qualified in 2022, 4 years ago. Practices with County of Riverside, a 187-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2021
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Moreno Valley, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 333 Murfreesboro Pike, Nashville, TN 37210-2834 — (615) 248-1225
  • 285 Twin Oaks Dr, Nashville, TN 37211-1140 — (951) 567-3097

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61659 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013587666
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 27, 2021
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice County Of Riverside — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Moreno Valley