Individual provider Active NPI

Kayla Mathiowetz, PA-C

  • Medical Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1245107366
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA67951 Issued in CA
Practice address
2621 S Bristol St Ste 202
Santa Ana, CA 92704-5718
Phone
(657) 900-4536
Fax
(657) 208-9732
NPI assigned
Oct 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA67951 CA Primary

Addresses

Primary practice location

2621 S Bristol St Ste 202
Santa Ana, CA 92704-5718

Mailing address

2621 S Bristol St Ste 202
Santa Ana, CA 92704-5718
Phone (657) 900-4536

Other practice location 1

1400 Reynolds Ave Ste 100
Irvine, CA 92614-5562
Phone (657) 900-4536

Other practice location 2

710 N Euclid St Ste 210
Anaheim, CA 92801-4132
Phone (657) 900-4536

Other practice location 3

5455 Garden Grove Blvd Ste 230
Westminster, CA 92683-8242
Phone (657) 900-4536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA67951CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal and Liver Consultants Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1245107366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 202",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045718",
            "telephone_number": "657-900-4536",
            "fax_number": "657-208-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 202",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045718",
            "telephone_number": "657-900-4536",
            "fax_number": "657-208-9732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Reynolds Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926145562",
            "country_code": "US",
            "telephone_number": "657-900-4536",
            "fax_number": "657-208-9732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 N Euclid St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928014132",
            "country_code": "US",
            "telephone_number": "657-900-4536",
            "fax_number": "657-208-9732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5455 Garden Grove Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926838242",
            "country_code": "US",
            "telephone_number": "657-900-4536",
            "fax_number": "657-208-9732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIOWETZ",
        "first_name": "KAYLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA67951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.