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

Nicole Ann Kitchen, PA

Individual provider Physician Assistant · NPI 1407237522

Nicole Ann Kitchen, PA is a Physician Assistant in San Diego, California. Graduated from Eastern Virginia Medical School in 2015, 11 years ago. Practices with Bon Secours Medical Group Hampton Roads Specialty Care LLC, a 194-clinician group and accepts Medicare assignment. Licensed in California and Guam.

Years since qualifying
11
Trained at
Eastern Virginia Medical School
Licensed in
CA, GU
In the registry since
2015
Specialties on file
2
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

8010 Frost St Fl 2
San Diego, CA 92123-4284
Phone: (858) 939-8350
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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 57023 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA-109 (GU)

Record details

NPI number1407237522
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 15, 2015
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice Bon Secours Medical Group Hampton Roads Specialty Care Llc — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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