Active NPI
Kyla Nellie Brock
- Day Training/Habilitation Specialist
- Sacramento, CA
National Provider Identifier
1477418648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 3550 Watt Ave Ste 140
Sacramento, CA 95821-2666 - Phone
- (916) 999-9933
- NPI assigned
- Dec 19, 2025
- 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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | CA | Primary |
Addresses
Primary practice location
3550 Watt Ave Ste 140
Sacramento, CA 95821-2666
Mailing address
1085 Sandringham Way
Roseville, CA 95661-5321
Phone (916) 820-4711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1477418648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 SANDRINGHAM WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956615321",
"telephone_number": "916-820-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 WATT AVE STE 140",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958212666",
"telephone_number": "916-999-9933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "KYLA",
"middle_name": "NELLIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-19",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.