KELLY L SALAZAR PA-C
NPI 1104655257
Physician Assistant in Riverside, CA

Active since July 29, 2024
4646 BROCKTON AVE, RIVERSIDE, CA 92506(951) 682-6900 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2025, Jul 29, 2024 (2 updates tracked since 2024).

About Kelly L Salazar Pa-c NPPES

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

KELLY L SALAZAR PA-C (NPI 1104655257) is an individual physician assistant in Riverside, California, licensed in California (PA65373) and active in the NPI registry since July 2024. She maintains a secondary practice location in Santa Maria.

NPPES Registry Identity

NPI1104655257
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY L SALAZARCredential: PA-C
Location Address4646 BROCKTON AVERiverside, CA 92506-0102
Mailing Address4646 Brockton AveRiverside, CA 92506-0102 · (951) 682-6900
Sole ProprietorYes
Enumeration DateJuly 29, 2024
Last NPPES UpdateJanuary 3, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1104655257 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 · PA65373
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.

4646 BROCKTON AVE, Riverside, CA 92506

Secondary Practice Location 1

Location 11075 E Betteravia Rd Ste 201Santa Maria, CA 93454-7023 · Phone (805) 621-7714

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.

Surgery
4646 BROCKTON AVE, SUITE 302-4
RIVERSIDE, CA 92506
Family Medicine
4646 BROCKTON AVE, STE 302
RIVERSIDE, CA 92506
Physician Assistant (Medical)
4646 BROCKTON AVE
RIVERSIDE, CA 92506
Family Medicine
4646 BROCKTON AVE, SUITE 202
RIVERSIDE, CA 92506
Otolaryngology (Plastic Surgery within the Head & Neck)
4646 BROCKTON AVE, SUITE 201
RIVERSIDE, CA 92506
Family Medicine
4646 BROCKTON AVE
RIVERSIDE, CA 92506
Family Medicine
4646 BROCKTON AVE, SUITE 202
RIVERSIDE, CA 92506
Nurse Practitioner (Gerontology)
4646 BROCKTON AVE
RIVERSIDE, CA 92506

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 Kelly Salazar's NPI number?

The NPI number for Kelly Salazar is 1104655257. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Kelly Salazar located?

Kelly Salazar practices at 4646 Brockton Ave, Riverside, CA 92506. The listed phone number is (951) 682-6900.

What is Kelly Salazar's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Salazar was last updated on January 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.