Active NPI
Kylie Tweed Kumasaka Evans, PA
- Physician Assistant
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA22965
- Practice address
- 4001 J St
Sacramento, CA 95819-3626 - Phone
- (916) 453-4828
- NPI assigned
- May 31, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22965 | CA | Primary |
Addresses
Primary practice location
4001 J St
Sacramento, CA 95819-3626
Mailing address
350 Twin Ponds LN
Lincoln, CA 95648-9625
Other names 1
- Kylie Kumasaka
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Stanford University School of Medicine, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10545 Armstrong Ave
Suite 1200
Mather, CA 95655-4101
10850 White Rock Rd
Rancho Cordova, CA 95670-6044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22965 | CA | MD | Physical Therapist |
| PA22965 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680
2521 Stockton Blvd
Ste 3200
Sacramento, CA 95817
Phone (916) 734-3112
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1649617606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 TWIN PONDS LN",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956489625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193626",
"telephone_number": "916-453-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMASAKA EVANS",
"first_name": "KYLIE",
"middle_name": "TWEED",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KYLIE",
"last_name": "KUMASAKA",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}
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 Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.