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

Kinston Cummings, PA

Individual provider Physician Assistant · NPI 1295462778

Kinston Cummings, PA is a Physician Assistant in Lakeport, California. Qualified in 2022, 4 years ago. Practices with Integrated Dermatology of Lakeport PC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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

5144 Hill Rd E
Lakeport, CA 95453-6300
Phone: (707) 263-8955
Fax: (707) 263-8340
Show map & directions

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

Additional practice locations (1)

  • 3105 McHenry Ave Ste 101, Modesto, CA 95350-1439 — (209) 575-2700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61469 (CA)

Record details

NPI number1295462778
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 4, 2022
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

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 Integrated Dermatology Of Lakeport Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lakeport