NPIMap

Individual provider Active NPI

Kaitlyn Kauffman, PA-C

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1629587373
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8802 Issued in AZ
Practice address
2525 Camino del Rio S Ste 335
San Diego, CA 92108-3743
Phone
(877) 264-6747
Fax
(877) 539-7730
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8802 AZ Primary
Physician Assistant 363A00000X 62605 CA
Behavior Technician 106S00000X RBT-17-39209 CA

Addresses

Primary practice location

2525 Camino del Rio S Ste 335
San Diego, CA 92108-3743

Mailing address

2323 E Highland Ave Unit 1205
Phoenix, AZ 85016-5211
Phone (760) 681-7182

Other names 1

  • Kaitlyn Marazoni Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718000648 CA Practitioner - Physician Assistant 9830589175 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palomar Emergency Physicians, IncGroup PAC ID 9830593730, 71 clinicians
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians
Clinic Services of California Medical Group IncGroup PAC ID 7810209715, 65 clinicians

Practice addresses (Care Compare)

15615 Pomerado Rd
Poway, CA 92064-2405
Phone (310) 379-2134

300 Fir St
San Diego, CA 92101-2327
Phone (848) 499-2600

8851 Ctr Dr
Suite 600
La Mesa, CA 91942-3061
Phone (619) 740-5724

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
86.89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RBT-17-39209CAMDBehavior Technician
8802AZMDPhysician Assistant
62605CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kyo Autism Therapy, LLC Behavior Technician PastSince Mar 1, 2020 Accepting new patients

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 1

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": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1629587373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 E HIGHLAND AVE UNIT 1205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165211",
            "telephone_number": "760-681-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S STE 335",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083743",
            "telephone_number": "877-264-6747",
            "fax_number": "877-539-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "KAITLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8802",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "62605",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-17-39209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "MARAZONI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.