Kyle Facciani

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-ERUOPQ Issued in CA

Practice address

2952 Cedar St
San Diego, CA 92102-1515

Phone

(619) 239-7370

NPI assigned

Jul 21, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Pathfinders of San Diego

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1285138230
  NPD (past)
• Pathfinders of San Diego

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1629839972
  NPD (past)

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1679494231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 CEDAR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021515",
            "telephone_number": "619-239-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 CEDAR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021515",
            "telephone_number": "619-239-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACCIANI",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-ERUOPQ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lastarzha Jeyelle Sta Ana Fabra
• Ahmed Fabre
• Samantha Diane Fabrizio, MD
• Wyatt Fabrizio, PHARMD
• Philip Fabunan, IDC
• Jennifer Faccio, PHARMD
• Facesplus Inc
• Nathan Fackler, MD
• Laurel Factor, P.A.-C.
• Phillip Howard Factor, D.O.

• Peer Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.