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MS. KELLY CICOTTE PA-C
NPI 1891382719
Physician Assistant in El Segundo, CA

Active since December 26, 2020
483 N AVIATION BLVD, EL SEGUNDO, CA 90245(310) 653-2873 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2022, Dec 26, 2020 (2 updates tracked since 2020).

About Ms. Kelly Cicotte Pa-c NPPES

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

MS. KELLY CICOTTE PA-C (NPI 1891382719) is an individual physician assistant in El Segundo, California, licensed in (1194751) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1891382719
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KELLY CICOTTECredential: PA-C
Location Address483 N AVIATION BLVDEl Segundo, CA 90245-2808
Mailing Address483 N Aviation BlvdEl Segundo, CA 90245-2808 · (310) 653-2873
Phone(310) 653-2873
Sole ProprietorYes
Enumeration DateDecember 26, 2020
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1891382719 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 · 1194751
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.
483 N AVIATION BLVD, El Segundo, CA 90245
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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.

MR. ADAM GEORGE HENDRIKSEN IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-2873
CHAD ROUNDS PHARM.D.
Pharmacist
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6548
CHEYENNE PATEL PA-C
Physician Assistant
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-2873
MS. CRISTINA DEL REFUGIO BENITEZ M.S.W
Social Worker (Clinical)
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-2873
DR. SYED G MOHIUDDIN MD
Pediatrics
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-2873
MS. LISA KENDRICK RON
Dietitian, Registered
483 N AVIATION BLVD, 61 MEDICAL SQUADRON LAAFB
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6736
DR. BENJAMIN FAIR STORK DO, MPH
Preventive Medicine (Occupational Medicine)
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-2873
MOISES J PEREZ DO
Family Medicine
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6437

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 Kelly Cicotte's NPI number?

The NPI number for Kelly Cicotte is 1891382719. It was assigned to this individual provider in the NPPES registry on December 26, 2020.

Where is Kelly Cicotte located?

Kelly Cicotte practices at 483 N Aviation Blvd, El Segundo, CA 90245. The listed phone number is (310) 653-2873.

What is Kelly Cicotte's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Cicotte was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.