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CARYN JOY AXTELL-KELLY P.A.-C
NPI 1700815958
Physician Assistant - Medical in Chino, CA

Active since July 01, 2006PECOS Enrolled
13193 CENTRAL AVE, SUITE 220, CHINO, CA 91710(909) 591-0843(909) 591-7226 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Caryn Joy Axtell-kelly P.a.-c NPPES

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

CARYN JOY AXTELL-KELLY P.A.-C (NPI 1700815958) is an individual medical provider in Chino, California, licensed in California (PA17278) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700815958
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCARYN JOY AXTELL-KELLYCredential: P.A.-C
Location Address13193 CENTRAL AVE, SUITE 220Chino, CA 91710
Mailing AddressPo Box 2492Rancho Cucamonga, CA 91729-2492 · (909) 591-0843 · Fax (909) 591-7226
Phone(909) 591-0843
Fax(909) 591-7226
Sole ProprietorNo
Enumeration DateJuly 1, 2006
Last NPPES UpdateMarch 7, 2008
✔ NPI 1700815958 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 · PA17278
13193 CENTRAL AVE, Chino, CA 91710
Open in Google Maps ↗

Other Identifiers 4

Medicare PINP00417678CA
MedicaidPA17278CA
Medicare PIN0PA172780CA
Medicare ID-Type Unspecified0PA172780CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caryn Joy Axtell-kelly P.a.-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.

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.

DR. MARCELINO DELLOPAC LATINA DO
Pediatrics
13193 CENTRAL AVE, SUITE 100
CHINO, CA 91710
San Bernardino County (909) 464-9675
ROBERT GIPSON
Counselor (Mental Health)
13193 CENTRAL AVE
CHINO, CA 91710
San Bernardino County (909) 464-9675
MRS. JANNA KAY BRENNAN-LYNCH RN
Registered Nurse
13193 CENTRAL AVE, SUITE 220
CHINO, CA 91710
San Bernardino County (909) 591-0843
SANA KHAN D.O
Family Medicine (Adult Medicine)
13193 CENTRAL AVE, STE 100
CHINO, CA 91710
San Bernardino County (909) 464-9675
DR. MARA GWYNNE LATTS PHD
Psychologist (Clinical)
13193 CENTRAL AVE, SUITE 200
CHINO, CA 91710
San Bernardino County (909) 902-9111
DR. STEVEN LEE GARMAN PSYD
Psychologist (Clinical)
13193 CENTRAL AVE, SUITE 200
CHINO, CA 91710
San Bernardino County (909) 902-9111
DR. THOMAS D SMITH PHD
Psychologist (Clinical)
13193 CENTRAL AVE, 200
CHINO, CA 91710
San Bernardino County (909) 902-9111
JAMES M LALLY D.O.
Family Medicine
13193 CENTRAL AVE, STE. 100
CHINO, CA 91710
San Bernardino County (909) 464-9675

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 Caryn Axtell-kelly's NPI number?

The NPI number for Caryn Axtell-kelly is 1700815958. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Caryn Axtell-kelly located?

Caryn Axtell-kelly practices at 13193 Central Ave Suite 220, Chino, CA 91710. The listed phone number is (909) 591-0843.

What is Caryn Axtell-kelly's specialty?

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

Is Caryn Axtell-kelly enrolled in Medicare?

Yes. Caryn Axtell-kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caryn Axtell-kelly was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.