Healthcare Provider Details

I. General information

NPI: 1811020100
Provider Name (Legal Business Name): MELISSA SAUCEDO KERR PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10675 JOHN JAY HOPKINS DR
SAN DIEGO CA
92121
US

IV. Provider business mailing address

7306 ALICANTE RD UNIT 7
CARLSBAD CA
92009-6207
US

V. Phone/Fax

Practice location:
  • Phone: 858-332-4326
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: