Kelly Matthaei, AGPCNP-BC, ACCNS

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95002101 Issued in CA

Practice address

7901 Frost St
San Diego, CA 92123-2701

Phone

(858) 761-2421

NPI assigned

Jan 7, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1184080012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16309 OAKLEY RD",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920654231",
            "telephone_number": "760-310-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 FROST ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232701",
            "telephone_number": "858-761-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHAEI",
        "first_name": "KELLY",
        "credential": "AGPCNP-BC, ACCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Matta, MD
• Ileana Matta
• Katherine Margaret Mattea, LMFT
• Angela Matteo
• Heather Matterson
• Melody Ghassan Matthe
• Joia Mattheson, MS, CNS
• Audrey Matthess, MSOT, OTR/L
• Janette Elaine Matthess, NP
• Matthew J. Horn, M.D., Inc.

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.