Kellie Johnson Matusalem, MS, PA-C
- Medicare patients, 2024
- 14
- Part D claims, 2024
- 32
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Practice address
- 9455 Clairemont Mesa Blvd, San Diego, CA 92123
- Practice phone
- Call (619) 528-5000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Kaiser Permanente San Diego Medical Center
San Diego, California
Find Kellie Matusalem's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Kellie Johnson Matusalem is a physician assistant in San Diego, California
Kellie Matusalem practices at Kaiser Permanente San Diego Medical Center in San Diego, California.
Kellie Matusalem's NPI, 1194121954, was assigned on November 6, 2014. Kellie Matusalem holds California license 51956.
- NPI
- 1194121954NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5799003471
- NPI enumeration date
- November 6, 2014
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (619) 528-5000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 38
- Medical school graduation
- 2014
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Kellie Johnson Matusalem practices at Kaiser Permanente San Diego Medical Center in San Diego, California
Kellie Matusalem's primary practice is Kaiser Permanente San Diego Medical Center, at 9455 Clairemont Mesa Blvd, San Diego, CA 92123 in San Diego County. The practice phone is (619) 528-5000.
- Kaiser Permanente San Diego Medical Center9455 Clairemont Mesa Blvd, San Diego, CA 92123 · San Diego CountyPhone(619) 528-5000
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Kellie Johnson Matusalem is affiliated with 2 sites of care and 1 medical group
Kellie Matusalem's primary practice is Kaiser Permanente San Diego Medical Center in San Diego, California. The medical group on file is Southern California Permanente Medical Group. Dmand AI also links Kellie Matusalem to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Kellie Johnson Matusalem's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Kellie Matusalem practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Kaiser Permanente San Diego Medical Center | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Kellie Johnson Matusalem is one of 11,482 physician assistants in California
Physician assistant is Kellie Matusalem's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Kellie Matusalem is licensed in California.
Specialties and state licenses
- Physician assistant, CaliforniaPrimary
Physician assistants near Kellie Matusalem
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Kellie Johnson Matusalem treated 14 Medicare patients in 2024, average age 65
CMS counts 14 Medicare patients who saw Kellie Matusalem in 2024. The largest group is 85 and over, with 0 patients. Their average risk score is 1.52, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Kellie Matusalem's median patient age at 55, with 60% women.
Kellie Matusalem's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Kellie Matusalem's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 55
Patient panel by sex, all payers
- Women60%
- Men40%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Kellie Johnson Matusalem wrote 32 Medicare Part D claims in 2024
In 2024, Kellie Matusalem wrote 32 Medicare Part D claims for 25 patients. 97% of them were for generic drugs.
Kellie Matusalem's Part D claims by kind of drug, 2024
- Generic31 claims97%
- Brand-name and other1 claims3%
Drug classes CMS tracks in Kellie Matusalem's Part D claims, 2024
- Opioids44%14 of 32 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
How Kellie Johnson Matusalem takes part in Medicare
Kellie Matusalem accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Sources for Kellie Johnson Matusalem's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Kellie Johnson Matusalem
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Kellie Johnson Matusalem's NPI number?
Kellie Johnson Matusalem's NPI number is 1194121954. It was assigned on November 6, 2014, and it is active in the NPI Registry.
What does Kellie Johnson Matusalem specialize in?
Kellie Johnson Matusalem is a physician assistant in San Diego, California. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Kellie Johnson Matusalem practice?
Kellie Matusalem practices at 9455 Clairemont Mesa Blvd, San Diego, CA 92123. Kellie Matusalem's primary practice is Kaiser Permanente San Diego Medical Center in San Diego, California. Dmand AI also links Kellie Matusalem to 1 group practice or clinic.
What is Kellie Johnson Matusalem's office phone number?
The practice phone on file for Kellie Matusalem is (619) 528-5000.
What is Kellie Johnson Matusalem's medical license number?
Kellie Matusalem holds California license 51956.
What medical group is Kellie Johnson Matusalem part of?
Kellie Matusalem is linked to Southern California Permanente Medical Group.
Does Kellie Johnson Matusalem accept Medicare?
Yes. CMS lists Kellie Matusalem as accepting Medicare assignment.
How many Medicare patients does Kellie Johnson Matusalem see?
CMS counts 14 Medicare patients who saw Kellie Matusalem in 2024, with an average age of 65.
How long has Kellie Johnson Matusalem been practicing?
Kellie Matusalem graduated from medical school in 2014, 12 years ago.
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