KENIA NICHELLE WATKINS PA
NPI 1639464845
Physician Assistant - Medical in South Gate, CA

Q: What is Kenia Watkins's NPI number?

The NPI number for Kenia Watkins is 1639464845. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Q: What is Kenia Watkins's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kenia Watkins was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 15, 2011PECOS Enrolled

4359 TWEEDY BLVD, SOUTH GATE, CA 90280(323) 569-6979(323) 249-4626 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenia Nichelle Watkins Pa NPPES

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

KENIA NICHELLE WATKINS PA (NPI 1639464845) is an individual medical provider in South Gate, California, licensed in California (PA16377) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639464845

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKENIA NICHELLE WATKINSCredential: PA

Location Address4359 TWEEDY BLVDSouth Gate, CA 90280-6236

Mailing Address4359 Tweedy BlvdSouth Gate, CA 90280-6236 · (323) 569-6979 · Fax (323) 249-4626

Phone(323) 569-6979

Fax(323) 249-4626

Sole ProprietorYes

Enumeration DateJune 15, 2011

✔ NPI 1639464845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA16377

4359 TWEEDY BLVD, South Gate, CA 90280

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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)

Kenia Nichelle Watkins Pa 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.

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 Kenia Watkins's NPI number?

The NPI number for Kenia Watkins is 1639464845. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Kenia Watkins located?

Kenia Watkins practices at 4359 Tweedy Blvd, South Gate, CA 90280. The listed phone number is (323) 569-6979.

What is Kenia Watkins's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kenia Watkins enrolled in Medicare?

Yes. Kenia Watkins is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenia Watkins was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.