Kellie Johnson Matusalem, MS, PA-C
Physician Assistant · San Diego, CA
Kellie Johnson Matusalem, MS, PA-C is a physician assistant with a practice address in San Diego, California, and NPI 1194121954, issued on Nov 6, 2014. Check the license (California 51956, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kellie Johnson Matusalem
- Credential
- MS, PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 51956 CA
Self-reported in NPPES; status is on the state search - Practice location
- 3750 Convoy St Ste 201, San Diego, CA 92111
- Phone
- (858) 278-8300
- Enumerated
- Nov 6, 2014
- Record last updated
- Dec 21, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20150408002125); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 3750 Convoy St Ste 201
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Thomas Hong, MDAdult Reconstructive Orthopaedic Surgery Physician1972097939
- Thomas Nguyen, M.D.Orthopaedic Surgery Physician1811307069
- Tiffany Nguyen, PA-CSurgical Physician Assistant1871138164
Verify Kellie Johnson Matusalem in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 51956Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
96% fewer Medicare Part D claims than the average physician assistant in 2024
32 Medicare Part D claims for 25 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. 14 claims were for opioids.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Southern California Permanente Medical GroupSan Diego, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
747 physician assistant records list a practice address in San Diego
They are 747 of the 52,937 NPPES records with a practice address in San Diego, and 14,451 physician assistant records in California.
All 747 in San Diego → All 14,451 in California → Every provider in San Diego →
Other physician assistant records in California
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- Lea Dominique Abadies, PATustin, CA1124754254
- Rea Elizabeth Abaniel, P.A.-CSeal Beach, CA1396173621
- Ramina Abbasi, PA-CSignal Hill, CA1093448300
- Ariel Abbott, PA-CStockton, CA1780334342
- Barrie Abbott, PA-CAnza, CA1861602575
- Elizabeth Abbott, PA-CSan Diego, CA1437540762
- Terri Abbott, P.A.La Jolla, CA1811165566
- Angela Abboud, MMS, PA-CSanta Rosa, CA1114399334
Common questions
What is Kellie Johnson Matusalem, MS, PA-C's NPI number?
Kellie Johnson Matusalem, MS, PA-C's National Provider Identifier (NPI) is 1194121954, issued on Nov 6, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Kellie Johnson Matusalem, MS, PA-C located?
The NPPES record lists a practice address at 3750 Convoy St Ste 201, San Diego, CA, 92111. Phone: (858) 278-8300. Providers update this record themselves, so call before visiting.
How can I verify Kellie Johnson Matusalem, MS, PA-C's license?
NPPES lists California license number 51956, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
How much does Kellie Johnson Matusalem, MS, PA-C prescribe under Medicare Part D?
In 2024, Kellie Johnson Matusalem, MS, PA-C had 32 Medicare Part D claims for 25 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.