Stephanie Kirwin
Physician Assistant in San Diego, CA. Individual provider (NPI-1).
NPI number1043972292
StatusActive
Last updated in NPPESJan 19, 2026
Details
- NPI
- 1043972292
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Kirwin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2021
- Certification date
- Jan 19, 2026
- Last updated
- Jan 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA60743 | CA | Yes |
Other names
- Stephanie Salas (Former Name)
Practice location
3900 Fifth Ave Ste 110San Diego, CA 92103-3122
Phone 858-554-1212
Mailing address
3900 Fifth Ave Ste 110San Diego, CA 92103-3122
Phone 858-554-1212
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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