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

Kelly Lee Santoro, PA

Individual provider Physician Assistant · NPI 1982960340

Kelly Lee Santoro, PA is a Physician Assistant in Los Angeles, California. Graduated from Yale University School of Medicine in 2011, 15 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
15
Trained at
Yale University School of Medicine
Licensed in
CA, PA
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

12414 Exposition Blvd
Los Angeles, CA 90064-1016
Phone: (310) 272-7640
Fax: (310) 272-7656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 51687 (CA)
Physician Assistant Taxonomy 363A00000X · Licence MA055445 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 51687 (CA)

Record details

NPI number1982960340
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 10, 2012
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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