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

Individual provider Medical Physician Assistant · NPI 1922401108

Kristan Kaine, PA-C is a Medical Physician Assistant in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
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

11425 El Camino Real
San Diego, CA 92130-2045
Phone: (858) 794-6363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA15533 (CA)

Record details

NPI number1922401108
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 2, 2014
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020

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