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

Kristine Supple, PA

Individual provider Physician Assistant · NPI 1720157233

Kristine Supple, PA is a Physician Assistant in Oxnard, California. Qualified in 1994, 32 years ago. Practices with Community Memorial Health System, a 187-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
32
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2921 Saviers Rd
Oxnard, CA 93033-5314
Phone: (805) 487-5588
Fax: (805) 487-5589
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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 15019 (CA)

Record details

NPI number1720157233
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESJuly 9, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Community Memorial Health System — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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