Individual provider Active NPI

Cheryl Emily Kyinn, MSPA

  • Medical Physician Assistant
  • San Diego, CA
National Provider Identifier
1649570284
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
21205 Issued in CA
Practice address
6645 Alvarado Rd
Suite 415
San Diego, CA 92120-5208
Phone
(619) 229-4941
NPI assigned
Oct 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 21205 CA Primary

Addresses

Primary practice location

6645 Alvarado Rd
Suite 415
San Diego, CA 92120-5208

Mailing address

6645 Alvarado Rd
Suite 415
San Diego, CA 92120-5208
Phone (619) 229-4941

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
I20121227000422 CA Practitioner - Physician Assistant 9133372113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandeep Thakkar DO a Professional CorporationGroup PAC ID 4688019722, 4 clinicians

Practice addresses (Care Compare)

1310 W Stewart Dr
Suite 602
Orange, CA 92868-3857
Phone (714) 602-9891

16405 Sand Canyon Ave
Suite 265
Irvine, CA 92618-3792

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
21205CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sandeep Thakkar DO a Professional Corporation CurrentSince Aug 4, 2025 Accepting new patients

Locations

19582 Beach Blvd
Ste 270
Huntington Beach, CA 92648
Phone (714) 232-8833

15775 Laguna Canyon Rd
Ste 190
Irvine, CA 92618
Phone (714) 500-8388

16405 Sand Canyon Ave
Ste 265
Irvine, CA 92618
Phone (714) 602-9891

520 Superior Ave
Ste 205
Newport Beach, CA 92663
Phone (949) 650-2462

1310 W Stewart Dr
Ste 602
Orange, CA 92868
Phone (714) 602-9891

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1649570284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 ALVARADO RD",
            "address_2": "SUITE 415",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205208",
            "telephone_number": "619-229-4941",
            "fax_number": "619-229-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 ALVARADO RD",
            "address_2": "SUITE 415",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205208",
            "telephone_number": "619-229-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYINN",
        "first_name": "CHERYL",
        "middle_name": "EMILY",
        "credential": "MSPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "21205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.