Kayla Rogers, RADT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1343100419 Issued in CA

Practice address

1100 Sportfisher Dr
Oceanside, CA 92054-2550

Phone

(760) 439-6702

NPI assigned

Apr 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1760945679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N WEITZEL ST APT 204",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542616",
            "telephone_number": "619-357-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SPORTFISHER DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542550",
            "telephone_number": "760-439-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KAYLA",
        "credential": "RADT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1343100419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D4082463",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OCEANSIDE",
            "affiliation": "N",
            "address_1": "402 N Weitzel St",
            "city": "Oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920542615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sloane Roeser, PT, DPT
• Roger P. Moynihan and Amy Jessel Moynihan
• Rogers and Reagan Dental Corporation
• Alex Rogers
• Cynthia Rogers
• Lisa Marie Rogers
• Marjan Rogers, DMD
• Robert Kenneth Rogers, PHARMD
• Estela Rojas, FNP
• Roland M. Buyama, D.D.S., Inc.

• Addiction (Substance Use Disorder) Counselor in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.