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KAITLYN LEWIS PA-C
NPI 1104391713
Physician Assistant in Fullerton, CA

Active since October 10, 2018PECOS Enrolled
2575 YORBA LINDA BLVD, FULLERTON, CA 92831(714) 992-7808 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2021, Oct 10, 2018 (2 updates tracked since 2018).

About Kaitlyn Lewis Pa-c NPPES

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

KAITLYN LEWIS PA-C (NPI 1104391713) is an individual physician assistant in Fullerton, California, licensed in California (1169595) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104391713
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLYN LEWISCredential: PA-C
Location Address2575 YORBA LINDA BLVDFullerton, CA 92831-1615
Mailing Address1304 E Yanonali St Apt ASanta Barbara, CA 93103-2746
Phone(714) 992-7808
Sole ProprietorYes
Enumeration DateOctober 10, 2018
Last NPPES UpdateJune 9, 20212 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1104391713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 1169595
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2575 YORBA LINDA BLVD, Fullerton, CA 92831
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Lewis 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92831 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

RACHEL JONES
Physician Assistant (Medical)
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
ONELKA DEVHARA DUNSFORD
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
HANNAH HAHN
Physician Assistant
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
AMY WU
Physician Assistant
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (213) 550-7936
CASSIDY SPILLETT
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
DR. REGINA SEEN WON GARRIOTT O.D.
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 992-7870
GUADALUPE VEGA
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
RILEY BENNYWORTH
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400

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 Kaitlyn Lewis's NPI number?

The NPI number for Kaitlyn Lewis is 1104391713. It was assigned to this individual provider in the NPPES registry on October 10, 2018.

Where is Kaitlyn Lewis located?

Kaitlyn Lewis practices at 2575 Yorba Linda Blvd, Fullerton, CA 92831. The listed phone number is (714) 992-7808.

What is Kaitlyn Lewis's specialty?

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

Is Kaitlyn Lewis enrolled in Medicare?

Yes. Kaitlyn Lewis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlyn Lewis was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.