Active NPI
Kistal Armenta
- Speech-Language Assistant
- Wildomar, CA
National Provider Identifier
1578438313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 10303
- Practice address
- 32326 Clinton Keith Rd Ste 201
Wildomar, CA 92595-7317 - Phone
- (858) 264-5858
- NPI assigned
- Oct 10, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Speech-Language Assistant | 2355S0801X | 10303 | CA | Primary |
Addresses
Primary practice location
32326 Clinton Keith Rd Ste 201
Wildomar, CA 92595-7317
Mailing address
600 Central Ave Ste F
Lake Elsinore, CA 92530-2740
Phone (951) 674-7575
Other practice location 1
600 Central Ave Ste F
Lake Elsinore, CA 92530-2740
Phone (951) 674-7575
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": "1760054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1578438313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CENTRAL AVE STE F",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925302740",
"telephone_number": "951-674-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32326 CLINTON KEITH RD STE 201",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925957317",
"telephone_number": "858-264-5858"
}
],
"practiceLocations": [
{
"address_1": "600 Central Ave Ste F",
"address_purpose": "LOCATION",
"city": "Lake Elsinore",
"state": "CA",
"postal_code": "925302740",
"country_code": "US",
"telephone_number": "951-674-7575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARMENTA",
"first_name": "KISTAL",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-10-10",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "10303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wildomar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.