1. Home
  2. Directory
  3. California
  4. San Bernardino
  5. Physician Assistant
  6. NPI Profile

MS. KETURAH BRAITHWAITE PA-C
NPI 1023773579
Physician Assistant in San Bernardino, CA

Active since November 01, 2021PECOS Enrolled
941 KENDALL DR STE C, SAN BERNARDINO, CA 92407(302) 354-7476 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2022, Dec 6, 2021, Nov 2, 2021 (3 updates tracked since 2021).

About Ms. Keturah Braithwaite Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KETURAH BRAITHWAITE PA-C (NPI 1023773579) is an individual physician assistant in San Bernardino, California, licensed in California (61065) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Covina.

NPPES Registry Identity

NPI1023773579
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KETURAH BRAITHWAITECredential: PA-C
Location Address941 KENDALL DR STE CSan Bernardino, CA 92407-4156
Mailing AddressPo Box 90483San Bernardino, CA 92427-1483 · (302) 354-7476
Phone(302) 354-7476
Sole ProprietorYes
Enumeration DateNovember 1, 2021
Last NPPES UpdateJune 29, 20233 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1023773579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 61065
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
941 KENDALL DR STE C, San Bernardino, CA 92407
Open in Google Maps ↗

Secondary Practice Location 1

Location 11533 West Merced Ave, suite 202West Covina, CA 91790 · Phone (302) 354-7476

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Keturah Braithwaite Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
27 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Q & M PHYSICIAN MEDICAL CORPORATION
Clinic/Center (Urgent Care)
941 KENDALL DR STE C
SAN BERNARDINO, CA 92407
San Bernardino County (951) 316-8406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keturah Braithwaite's NPI number?

The NPI number for Keturah Braithwaite is 1023773579. It was assigned to this individual provider in the NPPES registry on November 1, 2021.

Where is Keturah Braithwaite located?

Keturah Braithwaite practices at 941 Kendall Dr Ste C, San Bernardino, CA 92407. The listed phone number is (302) 354-7476.

What is Keturah Braithwaite's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Keturah Braithwaite enrolled in Medicare?

Yes. Keturah Braithwaite is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keturah Braithwaite was last updated on June 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.