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

Individual provider Physician Assistant · NPI 1811327810

Mrs. Kimberly Ely, PA-C is a Physician Assistant in Lynwood, California. Qualified in 2013, 13 years ago. Practices with Luminis Health Medical Group, LLC, a 549-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2013
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

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone: (310) 900-8900
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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 PA23004 (CA)

Record details

NPI number1811327810
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 13, 2013
Last updated in NPPESMarch 25, 2014
Mailing address3630 E Imperial Hwy, Lynwood, CA 90262-2609

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Luminis Health Medical Group, Llc — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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