Individual provider Active NPI

Jessica Kylander

  • Physician Assistant
  • Foothill Ranch, CA
National Provider Identifier
1801687496
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
65716 Issued in CA
Practice address
26781 Portola Pkwy Ste 4E
Foothill Ranch, CA 92610-1758
Phone
(949) 297-3888
NPI assigned
May 14, 2025
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 65716 CA Primary

Addresses

Primary practice location

26781 Portola Pkwy Ste 4E
Foothill Ranch, CA 92610-1758

Mailing address

33591 Avenida Calita
San Juan Capistrano, CA 92675-4901
Phone (949) 226-3765

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250605003915 CA Practitioner - Physician Assistant 4385154756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2001 E 4TH St
Suite 104
Santa Ana, CA 92705-3916
Phone (657) 230-7800

23653 El Toro Rd
Suite B
Lake Forest, CA 92630-8614
Phone (949) 317-0312

26781 Portola Pkwy
Suite 4E
Foothill Ranch, CA 92610-1758
Phone (949) 297-3888

4720 E Chapman Ave
Orange, CA 92869-4113
Phone (714) 771-7600

631 S Brookhurst St
Suite 101
Anaheim, CA 92804-3563
Phone (714) 991-5700

6502 Bolsa Ave
Suite 105
Huntington Beach, CA 92647-2662
Phone (714) 373-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65716CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Urgentcare Medical Group Incorporated Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1801687496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33591 AVENIDA CALITA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754901",
            "telephone_number": "949-226-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26781 PORTOLA PKWY STE 4E",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101758",
            "telephone_number": "949-297-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLANDER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "65716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foothill Ranch, CA

Sources for this page

Verify at the official NPI Registry.