Kayla Gradillas, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

26351 Junipero Serra Rd
San Juan Capistrano, CA 92675-1635

Phone

(949) 493-9307

Fax

(949) 276-2801

NPI assigned

Apr 7, 2016

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1013371863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PEARL",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774820",
            "telephone_number": "760-963-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26351 JUNIPERO SERRA RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751635",
            "telephone_number": "949-493-9307",
            "fax_number": "949-276-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADILLAS",
        "first_name": "KAYLA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiana Goncalves, D.C
• David Gonzalez, MD
• Vived Gonzalez, PSY.D
• Olivia Goodman
• Allison Catherine Gordon
• Hailey Gravelle
• John-Paul Gray, PHD
• Graywood Wellness LLC
• Scott Greenspan, MD
• Jordan Griffin

• Athletic Trainer in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.