Kayla Cristina Mowatt Diamreyan, DO

Individual provider Active NPI Family Medicine Physician · Edwards Afb, CA

NPI 1154955078 · NPPES record last updated Jan 7, 2026

Key facts

NPI
1154955078
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
2489 (NE)
Practice address
55 N Wolfe Ave BLDG 3925
Edwards Afb, CA 93524-6201
Phone
(661) 275-2661
Fax
(661) 277-6736
NPI assigned
Feb 29, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2489NEMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2489 NE Yes

Addresses

Primary practice location

55 N Wolfe Ave BLDG 3925
Edwards Afb, CA 93524-6201

Mailing address

30 Nightingale Dr
Edwards, CA 93524-0001

Other practice location 1

30 Nightingale Rd
Edwards, CA 93524-0001
Phone (661) 275-2725

Other names

  • Dr. Kayla Cristina Mowatt Former name

Other providers in Edwards Afb, CA

All providers in Edwards Afb, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.