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KAYANNA M. MATLOCK PA-C
NPI 1831666338
Physician Assistant in El Centro, CA

Active since November 01, 2018PECOS Enrolled
852 DANENBERG DR, EL CENTRO, CA 92243(760) 352-2257(760) 352-4579 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2021, Nov 10, 2020, Dec 20, 2018 and 1 more (4 updates tracked since 2018).

About Kayanna M. Matlock Pa-c NPPES

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

KAYANNA M. MATLOCK PA-C (NPI 1831666338) is an individual physician assistant in El Centro, California, licensed in California (59202) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831666338
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAYANNA M. MATLOCKCredential: PA-C
Location Address852 DANENBERG DREl Centro, CA 92243-8517
Mailing Address852 Danenberg DrEl Centro, CA 92243-8517 · (760) 352-2257 · Fax (760) 352-4579
Phone(760) 352-2257
Fax(760) 352-4579
Sole ProprietorNo
Enumeration DateNovember 1, 2018
Last NPPES UpdateJune 8, 20214 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1831666338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · 59202✔ Licensed in NV · PA2078
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.
852 DANENBERG DR, El Centro, CA 92243
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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)

Kayanna M. Matlock Pa-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92243 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
$90.40 typical visit price
range $58.90 – $176.72
Typical copayment $22.60 (range $14.72 – $44.18)
Most-billed visit code 99203
Established Patient
$73.20 typical visit price
range $19.28 – $144.68
Typical copayment $18.30 (range $4.82 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers18 claims18 services$21.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMILIANO SOL HIGUERA M.D.
Pediatrics
852 DANENBERG DR
EL CENTRO, CA 92243
Imperial County (760) 352-2257
DR. JOHNATHAN ASHLEY SLONE M.D.
Surgery
852 DANENBERG DR
EL CENTRO, CA 92243
Imperial County (760) 344-9951
MRS. LESLIE MARIE FERNANDEZ FNP
Nurse Practitioner (Family)
852 DANENBERG DR
EL CENTRO, CA 92243
Imperial County (760) 352-2257

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 Kayanna Matlock's NPI number?

The NPI number for Kayanna Matlock is 1831666338. It was assigned to this individual provider in the NPPES registry on November 1, 2018.

Where is Kayanna Matlock located?

Kayanna Matlock practices at 852 Danenberg Dr, El Centro, CA 92243. The listed phone number is (760) 352-2257.

What is Kayanna Matlock's specialty?

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

Is Kayanna Matlock enrolled in Medicare?

Yes. Kayanna Matlock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kayanna Matlock was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.