Gregory Ryan Kite, SF-IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

24323 Jackson Ave Apt 721
Murrieta, CA 92562-7905

Phone

(909) 810-3878

NPI assigned

Nov 5, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1306242292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 ADMIRAL TAUSSIG BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235112802",
            "telephone_number": "909-810-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24323 JACKSON AVE APT 721",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627905",
            "telephone_number": "909-810-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITE",
        "first_name": "GREGORY",
        "middle_name": "RYAN",
        "credential": "SF-IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayden King
• Jose King, COTA/L
• Makenzie King
• Ashlyn Kirby
• Diane Kirstin Odou, M.A., M.F.T.
• Angelina Elisea Klein
• Geordan Klein, OTR/L
• Brad Harley Klipper, MS BCBA
• Aliza Klos-Young, BCBA
• Razmig Knajian, O.D

• Independent Duty Corpsman in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.