Active NPI
McKayla Alexandria Roberts
- Student in an Organized Health Care Education/Training Program
- Alameda, CA
National Provider Identifier
1740915917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 94027370
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 94027370 | CA | MD | Student 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.