Individual provider Active NPI

Kayla Patel, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfield, CA
National Provider Identifier
1497114672
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95015382 Issued in CA
Practice address
744 Empire St Ste 120
Fairfield, CA 94533-5550
Phone
(707) 440-9923
NPI assigned
Feb 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95068942 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95015382 CA Primary

Addresses

Primary practice location

744 Empire St Ste 120
Fairfield, CA 94533-5550

Mailing address

1005 Atlantic Ave
Alameda, CA 94501-1148
Phone (415) 474-7310

Other practice location 1

1001 Portrero Ave
San Francisco, CA 94110-3518
Phone (415) 206-8125

Other practice location 2

1840 Capitol St Ste B
Vallejo, CA 94590-5721
Phone (707) 440-9923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210625002495 CA Practitioner - Nurse Practitioner 7214338375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Felton Institute CurrentSince May 22, 2025 Accepting new patients
Felton Institute Current Accepting new patients
Felton Institute CurrentSince May 22, 2025 Accepting new patients
Felton Institute PastSince Feb 2, 2025 Accepting new patients
Felton Institute Past Accepting new patients

Locations

1005 Atlantic Ave
Alameda, CA 94501
Phone (510) 318-6100

744 Empire St
Ste 120
Fairfield, CA 94533
Phone (415) 412-1640

30 E San Joaquin St
Ste 102
Salinas, CA 93901
Phone (831) 393-5994

1500 Franklin St
San Francisco, CA 94109

6221 Geary Blvd
San Francisco, CA 94121
Phone (415) 251-5770

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1497114672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 ATLANTIC AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011148",
            "telephone_number": "415-474-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 EMPIRE ST STE 120",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335550",
            "telephone_number": "707-440-9923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Portrero Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-206-8125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Capitol St Ste B",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945905721",
            "country_code": "US",
            "telephone_number": "707-440-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KAYLA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95068942",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95015382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.