Caleb Kil

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA59659 Issued in CA

Practice address

7872 Walker St
La Palma, CA 90623-1796

Phone

(714) 527-8777

NPI assigned

Oct 31, 2019

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: caleb.kil.1@3254.direct.athenahealth.com

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1699319848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7872 WALKER ST",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231796",
            "telephone_number": "714-527-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7872 WALKER ST",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231796",
            "telephone_number": "714-527-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIL",
        "first_name": "CALEB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-31",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA59659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ami Kawatkar, PHARMD
• Michiko Kayahara, NP
• Kevin Trinh, M.D., a Professional Medical Corporation
• Sabeen Khalid, OD
• Cemone Khan, O.D.
• Namju Kim Shin, AGNP-C
• Brian Kim
• Dongwhoon Ethan Kim, D.D.S
• Henry Hyunki Kim, MD
• Hye Jin Kim, L.AC

• Medical Physician Assistant in La Palma, CA
• Providers in La Palma, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.