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

Tammy Boyette Kelly, PA-C

Individual provider Medical Physician Assistant · NPI 1215267349

Tammy Boyette Kelly, PA-C is a Physician Assistant in LA Mesa, California. Qualified in 2009, 17 years ago. Practices with Eppel Family Medicine LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Florida, North Carolina and Virginia.

Years since qualifying
17
Licensed in
CA, FL, NC, VA
In the registry since
2010
Specialties on file
4
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

7051 Alvarado Rd
LA Mesa, CA 91942-8901
Phone: (619) 460-7775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 E Plaza Blvd, National City, CA 91950-3342 — (619) 474-8989

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA54682 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110003655 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9107316 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-02138 (NC)

Record details

NPI number1215267349
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2010
Last updated in NPPESOctober 26, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Eppel Family Medicine Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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