Organization Active NPI

Kyle W. Seeley, DO Apc

  • Family Medicine Physician
  • La Mesa, CA
National Provider Identifier
1063607604
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7993 Issued in CA
Legal business name
KYLE W. SEELEY, DO APC
Practice address
5565 Grossmont Center Dr
#1-210
La Mesa, CA 91942-3020
Phone
(619) 460-6103
Fax
(619) 460-6682
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kyle W Seeley, DO
Title
Owner/Director
Phone
(619) 460-6103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A7993 CA Primary

Addresses

Primary practice location

5565 Grossmont Center Dr
#1-210
La Mesa, CA 91942-3020

Mailing address

5565 Grossmont Center Dr
#1-210
La Mesa, CA 91942-3020
Phone (619) 460-6103

National Provider Directory

National Provider Directory

Locations

#1210
La Mesa, CA 91942
Phone (619) 460-6103

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1063607604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "address_2": "#1-210",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "619-460-6103",
            "fax_number": "619-460-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "address_2": "#1-210",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "619-460-6103",
            "fax_number": "619-460-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE W. SEELEY, DO APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "SEELEY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "619-460-6103",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.