Tyla Chantel Kincherlow

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

331880898 Issued in CA

Practice address

33999 Tuscan Creek Way
Temecula, CA 92592-5639

Phone

(951) 252-4123

NPI assigned

Nov 4, 2021

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 names 1

• Ms. Tyla Chantel Kincherlow Professional name

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": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1891450789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33999 TUSCAN CREEK WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925639",
            "telephone_number": "951-252-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33999 TUSCAN CREEK WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925639",
            "telephone_number": "951-252-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCHERLOW",
        "first_name": "TYLA",
        "middle_name": "CHANTEL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "331880898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLA",
            "last_name": "KINCHERLOW",
            "middle_name": "CHANTEL",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jinyoung Kim
• Leslie H. Kim, M.D.
• Sharon Kim, PHARMD
• Kimberly J Evans Otr L CHT Professional Corporation (Evans Hand Therapy)
• Nozomi Kimura, NP-C
• Courtney King
• Cristina M King, PTA
• Jonathan Steven King, BCABA
• Makayla Elizabeth King, LMFT
• Christopher Kiragu, RN

• Assisted Living Facility in Temecula, CA
• Providers in Temecula, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.