SUSAN KELLY PA NPI 1952260077

NPI Information

  • NPI: 1952260077
  • Provider Name: SUSAN KELLY, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: PO BOX 1098
    SANTA CRUZ, CA
    ZIP 95061
  • Phone: (831) 458-4268

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NPI Details

Susan Kelly, PA is a medical physician assistant in Santa Cruz, CA. Susan Kelly, PA NPI is 1952260077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

PO BOX 1098
SANTA CRUZ, CA
ZIP 95061-098
Phone: (831) 458-4268

The enumeration date for this NPI number is 1/16/2026 and was last updated on 1/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical10521CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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