Individual provider Active NPI

Kara A Middleton, PA-C

  • Physician Assistant
  • Lemon Grove, CA
National Provider Identifier
1578194585
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
67031 Issued in CA
Practice address
7592 Broadway
Lemon Grove, CA 91945-1604
Phone
(619) 515-2550
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2030 ME
Physician Assistant 363A00000X 67031 CA Primary

Addresses

Primary practice location

7592 Broadway
Lemon Grove, CA 91945-1604

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, CA, WI3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200306000264 ME Practitioner - Physician Assistant 4486081379
I20251031002695 CA Practitioner - Physician Assistant 4486081379 Reassigns benefits to 1 organization
I20260227001189 WI Practitioner - Physician Assistant 4486081379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2031 Peach St
Wisconsin Rapids, WI 54494-5181
Phone (715) 423-0122

420 Dewey St
Wisconsin Rapids, WI 54494-4714
Phone (715) 422-7750

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
67031CAMDPhysician Assistant
PA2030MEMDPhysician Assistant
8525WIMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Nov 10, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Nov 10, 2025 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Feb 17, 2026 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Feb 17, 2026 Accepting new patients

Locations

7592 Broadway
Lemon Grove, CA 91945
Phone (619) 515-2550

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

29980 Network Pl
Chicago, IL 60673

489 State St
Bangor, ME 04401
Phone (207) 973-8837

2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1578194585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GATEWAY CENTER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024541",
            "telephone_number": "619-515-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7592 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451604",
            "telephone_number": "619-515-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "KARA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2030",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "67031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemon Grove, CA

Sources for this page

Verify at the official NPI Registry.