Susan Kelly, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10521 Issued in CA

Practice address

PO Box 1098
Santa Cruz, CA 95061-1098

Phone

(831) 458-4268

NPI assigned

Jan 16, 2026

Last updated

Jan 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Physician Assistant

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1952260077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1098",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950611098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1098",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950611098",
            "telephone_number": "831-458-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SUSAN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "10521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Kelly, MD
• Margret Anne Kelly, OT
• Nina B Kelly, LMFT
• Ryanna Kelly
• Steven James Kelly
• Nanette Mandin Kelsey, RN
• Mark C Kemerling, D.D.S.
• Margot Kemp, RN
• Tara Kemp
• Ken Cassorla Chiropractic Corporation

• Medical Physician Assistant in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.