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KAMAILE ELIZABETH PECK
NPI 1710864038
Physician Assistant in Colton, CA

Active since August 19, 2025PECOS Enrolled
400 N PEPPER AVE, COLTON, CA 92324(909) 580-1000 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kamaile Elizabeth Peck NPPES

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

KAMAILE ELIZABETH PECK (NPI 1710864038) is an individual physician assistant in Colton, California, licensed in California (67871) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710864038
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAMAILE ELIZABETH PECK
Location Address400 N PEPPER AVEColton, CA 92324-1819
Mailing Address4 Scarborough WayRancho Mirage, CA 92270-1624 · (720) 431-8912
Phone(909) 580-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 19, 2025
Last NPPES UpdateMarch 20, 2026
NPPES CertifiedMarch 20, 2026
✔ NPI 1710864038 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 · 67871
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.
400 N PEPPER AVE, Colton, CA 92324
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Other Names 1

Former Name (1)Kamaile Elizabeth Conant

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kamaile Elizabeth Peck is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375018526
PECOS Enrollment IDI20260406003342
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 92324 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

CATHERINE J CALHOUN
Licensed Psychiatric Technician
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
CINDY COZART
Registered Nurse (Psychiatric/Mental Health)
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
ARROWHEAD REGIONAL MEDICAL CENTER
General Acute Care Hospital
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1000
LINDA MATTHEWS
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-3144
BRANDI DEUEL
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-3144
CHIQUE LOU FLORES RN
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
KEVIN THIEN ONG
Student in an Organized Health Care Education/Training Program
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (510) 525-6927
CAROLYN M DOHERTY MD
Otolaryngology
400 N PEPPER AVE, MOB SUITE 308
COLTON, CA 92324
San Bernardino County (909) 580-3353

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 Kamaile Peck's NPI number?

The NPI number for Kamaile Peck is 1710864038. It was assigned to this individual provider in the NPPES registry on August 19, 2025. The provider is also known as Kamaile Elizabeth Conant.

Where is Kamaile Peck located?

Kamaile Peck practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-1000.

What is Kamaile Peck's specialty?

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

Is Kamaile Peck enrolled in Medicare?

Yes. Kamaile Peck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kamaile Peck was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.