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

Kesha Katina Hudson, PA-C

Individual provider Physician Assistant · NPI 1093721540

Kesha Katina Hudson, PA-C is a Physician Assistant in Hesperia, California. Qualified in 2002, 24 years ago. Practices with Graybill Medical Group Inc, a 104-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
24
Licensed in
CA, GA
In the registry since
2006
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

11919 Hesperia Rd
Hesperia, CA 92345-2158
Phone: (760) 948-1454
Fax: (706) 322-8332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 225 East Second Avenue, Escondido, CA 92025-4249 — (760) 291-6700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA16506 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 005383 (GA)

Record details

NPI number1093721540
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Graybill Medical Group Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hesperia