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

Individual provider Physician Assistant · NPI 1639489727

Mrs. Kelli Kaye Hernandez, PA-C is a Physician Assistant in Orange, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
Specialties on file
2
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

700 S Tustin St
Orange, CA 92866-3425
Phone: (714) 922-4100
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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 PA21159 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA21159 (CA)

Record details

NPI number1639489727
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 7, 2010
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021

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