KAITLIN DICKSON PA
NPI 1710525936
Physician Assistant in San Diego, CA
About Kaitlin Dickson Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLIN DICKSON PA (NPI 1710525936) is an individual physician assistant in San Diego, California, licensed in California (PA61328) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaitlin Dickson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Kaitlin Dickson's NPI number?
The NPI number for Kaitlin Dickson is 1710525936. It was assigned to this individual provider in the NPPES registry on December 18, 2019.
Where is Kaitlin Dickson located?
Kaitlin Dickson practices at 5575 Ruffin Rd Ste 100, San Diego, CA 92123. The listed phone number is (858) 277-2744.
What is Kaitlin Dickson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kaitlin Dickson enrolled in Medicare?
Yes. Kaitlin Dickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kaitlin Dickson was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Kaitlin Dickson, PA · NPI 1710525936
Physician Assistant physician in San Diego, California. Individual provider, active in the CMS NPPES registry since December 18, 2019.
## Identity
- **NPI:** 1710525936 (Entity type: Individual)
- **Enumerated:** December 18, 2019
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA61328 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5575 RUFFIN RD STE 100, San Diego, CA 92123-1361
- **Phone:** (858) 277-2744
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710525936) · Data from the CMS NPPES public registry.