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

Individual provider Physician Assistant · NPI 1972726784

Kyla Ama Davis, PA-C is a Physician Assistant in Fullerton, California. Qualified in 2006, 20 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
20
Licensed in
CA, FL
In the registry since
2007
Specialties on file
3
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

2141 N Harbor Blvd Ste 35000
Fullerton, CA 92835-3831
Phone: (714) 626-8630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2251 N Harbor Blvd, Fullerton, CA 92835-2601 — (714) 449-6230
  • 39000 Bob Hope Dr, Rancho Mirage, CA 92270 — (760) 568-2684

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA19190 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA 9104116 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA19190 (CA)

Record details

NPI number1972726784
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fullerton