Active NPI
Kira Willis
- Licensed Vocational Nurse
- Escondido, CA
National Provider Identifier
1104733492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 762840
- Practice address
- 161 N Date St
Escondido, CA 92025-3405 - Phone
- (760) 291-4788
- NPI assigned
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 762840 | CA | Primary |
Addresses
Primary practice location
161 N Date St
Escondido, CA 92025-3405
Mailing address
161 N Date St
Escondido, CA 92025-3405
Phone (760) 291-4788
Other names 1
- Kira Bobbert
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1104733492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 N DATE ST",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253405",
"telephone_number": "760-291-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 N DATE ST",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253405",
"telephone_number": "760-291-4788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "KIRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "762840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRA",
"last_name": "BOBBERT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.