Active NPI
Kristal Kahealani McIntosh
- Licensed Vocational Nurse
- Escondido, CA
National Provider Identifier
1568186963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 285325
- Practice address
- 161 N Date St
Escondido, CA 92025-3405 - Phone
- (760) 745-7786
- NPI assigned
- Sep 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 285325 | CA | Primary |
Addresses
Primary practice location
161 N Date St
Escondido, CA 92025-3405
Mailing address
207 Diamond Way
Unit 118
Vista, CA 92083
Phone (760) 390-3322
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html | arcadia healthcare | |
| CONNECT URL | securerecords.sanford.html | mission escondido |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285325 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1568186963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 DIAMOND WAY",
"address_2": "UNIT 118",
"city": "VISTA",
"state": "CA",
"postal_code": "92083",
"telephone_number": "760-390-3322"
},
{
"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": "760-745-7786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "KRISTAL",
"middle_name": "KAHEALANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-29",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "285325",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "Y",
"affiliationName": "arcadia healthcare",
"address_1": "1560 Capalina Rd",
"city": "San Marcos",
"state": "CA",
"country_code": "US",
"postal_code": "920691288",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "Y",
"affiliationName": "mission escondido",
"address_1": "161 N Date St",
"city": "Escondido",
"state": "CA",
"country_code": "US",
"postal_code": "920253405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.