1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Physician Assistant
  6. NPI Profile

KACIE KLINE CONDON PA-C
NPI 1942924907
Physician Assistant in Los Angeles, CA

Active since October 03, 2022PECOS EnrolledAccepts Medicare Assignment
420 E 3RD ST STE 805, LOS ANGELES, CA 90013(213) 218-3915 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2025, Oct 3, 2022 (2 updates tracked since 2022).

About Kacie Kline Condon Pa-c NPPES

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

KACIE KLINE CONDON PA-C (NPI 1942924907) is an individual physician assistant in Los Angeles, California, licensed in California (PA61679) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942924907
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKACIE KLINE CONDONCredential: PA-C
Location Address420 E 3RD ST STE 805Los Angeles, CA 90013-1646
Mailing Address1957 Port Chelsea PlNewport Beach, CA 92660-5349 · (949) 922-1314
Phone(213) 218-3915
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 3, 2022
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1942924907 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 · PA61679
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.
420 E 3RD ST STE 805, Los Angeles, CA 90013
Open in Google Maps ↗

Other Names 1

Former Name (1)Kacie Allison Kline Pa-c

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

Kacie Kline Condon 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 ID1153793989
PECOS Enrollment IDI20230203002581
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90013 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 2

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

MS. CHEINY SHIAU PA-C
Physician Assistant (Medical)
420 E 3RD ST STE 805
LOS ANGELES, CA 90013
Los Angeles County (213) 687-3214
IRRADIANCE MEDICAL GROUP INC
Dermatology (Procedural Dermatology)
420 E 3RD ST STE 805
LOS ANGELES, CA 90013
Los Angeles County (213) 687-3214

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 Kacie Condon's NPI number?

The NPI number for Kacie Condon is 1942924907. It was assigned to this individual provider in the NPPES registry on October 3, 2022. The provider is also known as Kacie Allison Kline Pa-C.

Where is Kacie Condon located?

Kacie Condon practices at 420 E 3rd St Ste 805, Los Angeles, CA 90013. The listed phone number is (213) 218-3915.

What is Kacie Condon's specialty?

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

Is Kacie Condon enrolled in Medicare?

Yes. Kacie Condon 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 Kacie Condon was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.