Active NPI
Kelly Christine Mercer, PA-C, MPH
- Medical Physician Assistant
- San Diego, CA
National Provider Identifier
1154609790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA21625
- Practice address
- 7910 Frost St Ste 450
San Diego, CA 92123-2765 - Phone
- (858) 966-8493
- NPI assigned
- Aug 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA21625 | CA | Primary |
Addresses
Primary practice location
7910 Frost St Ste 450
San Diego, CA 92123-2765
Mailing address
3020 Childrens Way
Mc5003
San Diego, CA 92123-4223
Phone (858) 576-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA21625 | Other | CA | PHYSICIAN ASSISTANT LICENSE |
Other names 1
- Kelly Jarvis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA21625 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somagen Healthcare Inc | Past | Accepting new patients | |
| La Maestra Family Clinic | Past | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients |
Interoperability endpoints
- kelly.jarvis.p1@direct.lamaestra.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- National City, CA
- NPI 1336324904
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
- Urgent Care Clinic/Center
- Santee, CA
- NPI 1396058137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1154609790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY",
"address_2": "MC5003",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-576-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 FROST ST STE 450",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232765",
"telephone_number": "858-966-8493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER",
"first_name": "KELLY",
"middle_name": "CHRISTINE",
"credential": "PA-C, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-01",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA21625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT LICENSE",
"identifier": "PA21625",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "JARVIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.