Individual provider Active NPI

McKayla Alexandria Roberts

  • Student in an Organized Health Care Education/Training Program
  • Alameda, CA
National Provider Identifier
1740915917
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
94027370 Issued in CA
Practice address
2325 Clement Ave Ste a
Alameda, CA 94501-7061
Phone
(510) 629-6300
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 94027370 CA Primary

Addresses

Primary practice location

2325 Clement Ave Ste a
Alameda, CA 94501-7061

Mailing address

7011 Sunne LN Apt 320
Walnut Creek, CA 94597-3626
Phone (402) 671-2836

Other practice location 1

21 Tamal Vista Blvd Ste 203
Corte Madera, CA 94925-1147
Phone (669) 295-8226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
94027370CAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1740915917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 SUNNE LN APT 320",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973626",
            "telephone_number": "402-671-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 CLEMENT AVE STE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945017061",
            "telephone_number": "510-629-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Tamal Vista Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Corte Madera",
            "state": "CA",
            "postal_code": "949251147",
            "country_code": "US",
            "telephone_number": "669-295-8226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MCKAYLA",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "94027370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.