KELLY A. WATSON PA-C
NPI 1942529516
Physician Assistant in Los Angeles, CA

Active since May 21, 2010PECOS EnrolledAccepts Medicare Assignment
127 S SAN VICENTE BLVD STE A3100, LOS ANGELES, CA 90048(310) 423-3851(310) 423-3522 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, Oct 23, 2019 (2 updates tracked since 2019).

About Kelly A. Watson Pa-c NPPES

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

KELLY A. WATSON PA-C (NPI 1942529516) is an individual physician assistant in Los Angeles, California, licensed in California (PA64659) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942529516
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY A. WATSONCredential: PA-C
Location Address127 S SAN VICENTE BLVD STE A3100Los Angeles, CA 90048-3311
Mailing Address4140 W 190th StTorrance, CA 90504-5513 · (104) 233-8513 · Fax (310) 423-3522
Fax(310) 423-3522
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 21, 2010
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
NPI 1942529516 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 · PA64659 Licensed in OH · 50.005988RX
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.
127 S SAN VICENTE BLVD STE A3100, Los Angeles, CA 90048

Secondary Practice Location 1

Location 1452 W 10th AveColumbus, OH 43210-1240 · Phone (614) 293-6638 · Fax (614) 293-2867

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

Kelly A. Watson Pa-c 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.

PECOS PAC ID7911167275
PECOS Enrollment IDI20241211003961
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 90048 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 12

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
127 S SAN VICENTE BLVD STE A3100
LOS ANGELES, CA 90048
Physician Assistant
127 S SAN VICENTE BLVD STE A3100
LOS ANGELES, CA 90048
Nurse Practitioner (Family)
127 S SAN VICENTE BLVD STE A3100
LOS ANGELES, CA 90048
Physician Assistant
127 S SAN VICENTE BLVD STE A3100
LOS ANGELES, CA 90048
Physician Assistant
127 S SAN VICENTE BLVD STE A3100
LOS ANGELES, CA 90048
Student in an Organized Health Care Education/Training Program
127 S SAN VICENTE BLVD STE A3100
LOS ANGELES, CA 90048
Nurse Practitioner (Family)
127 S SAN VICENTE BLVD STE A3100
LOS ANGELES, CA 90048
Thoracic Surgery (Cardiothoracic Vascular Surgery)
127 S SAN VICENTE BLVD STE A3100
LOS ANGELES, CA 90048

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 Watson's NPI number?

The NPI number for Kelly Watson is 1942529516. It was assigned to this individual provider in the NPPES registry on May 21, 2010.

Where is Kelly Watson located?

Kelly Watson practices at 127 S San Vicente Blvd Ste A3100, Los Angeles, CA 90048. The listed phone number is (310) 423-3851.

What is Kelly Watson's specialty?

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

Is Kelly Watson enrolled in Medicare?

Yes. Kelly Watson 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 Kelly Watson was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.