Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly L Salazar, PA-C

Individual provider Physician Assistant · NPI 1104655257

Kelly L Salazar, PA-C is a Physician Assistant in Riverside, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024
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

4646 Brockton Ave
Riverside, CA 92506-0102
Phone: (951) 682-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1075 E Betteravia Rd Ste 201, Santa Maria, CA 93454-7023 — (805) 621-7714

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65373 (CA)

Record details

NPI number1104655257
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 29, 2024
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

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