Jeffrey Paul Kittrelle, MD

Primary specialty

Clinical Pharmacology PhysicianTaxonomy code 208U00000X

License

G55142 Issued in CA

Practice address

13454 Landfair Rd
San Diego, CA 92130-1854

Phone

(858) 259-4511

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689896490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13454 LANDFAIR RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301854",
            "telephone_number": "858-259-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13454 LANDFAIR RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301854",
            "telephone_number": "858-259-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTRELLE",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "CA",
            "license": "G55142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kitchin
• Daniela Kite, AUD
• Cynthia Kitlinger, RADT I
• Bo Michael Kitrell, MD
• Savanna Kittel
• Julia Cuatrecasas Kitts, LCSW
• Sydney Kitz, AMFT
• Kira Kiurciev
• Lawrence Ross Kivett, RADT
• Joshua Robert Kivlovitz, LCSW

• Clinical Pharmacology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Pharmacology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.