Kayla Chan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

Y4221942 Issued in CA

Practice address

27661 Man O War Dr
Tehachapi, CA 93561-5355

Phone

(661) 972-3787

NPI assigned

Feb 15, 2023

Last updated

Feb 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1750089116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220506",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913220506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27661 MAN O WAR DR",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935615355",
            "telephone_number": "661-972-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "Y4221942",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "Y4221942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Leeann Canales
• Carla Cook
• Sarah D Carroll, NP
• Cep America - Intensivists PC
• Cep America- California
• Michelle Ann Charkins
• Velina Astrid Charleston
• Baek Young Choung, D.D.S.
• Alicia Clabaugh, MA, BA.,RAS
• College Community Services (Clarvida)

• Student in an Organized Health Care Education/Training Program in Tehachapi, CA
• Providers in Tehachapi, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.