Active NPI
Kevin Nasre, DO
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Escondido, CA
National Provider Identifier
1043833841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 20A20323
- Practice address
- 1955 Citracado Pkwy Ste 203
Escondido, CA 92029-4112 - Phone
- (760) 738-5533
- Fax
- (760) 738-3835
- NPI assigned
- May 27, 2020
- Last updated
- Aug 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 20A20323 | CA | Primary |
Addresses
Primary practice location
1955 Citracado Pkwy Ste 203
Escondido, CA 92029-4112
Mailing address
10565 Civic Center Dr Ste 250
Rancho Cucamonga, CA 91730-3854
Phone (760) 738-5533
Other practice location 1
4860 Y St Ste 3020
Sacramento, CA 95817-2309
Phone (650) 787-3723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230306002885 | CA | Order and Referring Only - Physical Medicine and Rehabilitation | 0749653152 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A20323 | CA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1043833841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10565 CIVIC CENTER DR STE 250",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303854",
"telephone_number": "760-738-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 CITRACADO PKWY STE 203",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920294112",
"telephone_number": "760-738-5533",
"fax_number": "760-738-3835"
}
],
"practiceLocations": [
{
"address_1": "4860 Y St Ste 3020",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172309",
"country_code": "US",
"telephone_number": "650-787-3723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASRE",
"first_name": "KEVIN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "20A20323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
- Melinda Joyce Naranjo, BCBA
- Archana Krishnarajpet Narayan, M.D.
- Joe E Narvid, LCSW
- Arian Kolahdouz Nasiri, M.D.
- Adam Nasoff
- Dina Mehrez Nasry-Aperocho
- National Association for the Treatment of Sexual Abuse (Circle of Friends)
- National Association for the Treatment of Sexual Abuse (Circle of Friends)
- National Association for the Treatment of Sexual Abuse (Circle of Friends 1)
- National Birth Centers Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.