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

Kierra McCoy

Individual provider Physician Assistant · NPI 1396428751

Kierra McCoy is a Physician Assistant in Riverside, California. Qualified in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

4500 Brockton Ave Ste 107
Riverside, CA 92501-4006
Phone: (951) 276-2760
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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 PA67493 (CA)

Record details

NPI number1396428751
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address310 S Jefferson St Apt 4e, Placentia, CA 92870-8442

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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