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

Kevin Fryer

Individual provider Physician Assistant · NPI 1295467447

Kevin Fryer is a Physician Assistant in Corona, California. Qualified in 2022, 4 years ago. Practices with Corona Orthopaedic Associates Medical Group Inc, a 12-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

341 Magnolia Ave Ste 101
Corona, CA 92879-3331
Phone: (951) 735-6060
Fax: (951) 735-4510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61581 (CA)

Record details

NPI number1295467447
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 27, 2022
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing address15101 Fairfield Ranch Rd Unit 14303, Chino Hills, CA 91709-8891

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 Corona Orthopaedic Associates Medical Group Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Corona