Marla Monica Kingkade

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1094 Cudahy PL
Suite 314
San Diego, CA 92110-3931

Phone

(619) 276-8112

Fax

(619) 276-8230

NPI assigned

Mar 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• P.E.R.T Incorporated

  • Public Health or Welfare Agency
  • San Diego, CA
  • NPI 1558496968
  NPD (past)

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1932408754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 CUDAHY PL",
            "address_2": "SUITE 314",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103931",
            "telephone_number": "619-276-8112",
            "fax_number": "619-276-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 CUDAHY PL",
            "address_2": "SUITE 314",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103931",
            "telephone_number": "619-276-8112",
            "fax_number": "619-276-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGKADE",
        "first_name": "MARLA",
        "middle_name": "MONICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thaysha King
• Tyler King, M.S., CCC-SLP
• Tyler Collen Kingdon, MD
• Amy Kinghorn
• Laura Elizabeth Kingkade
• Adessa Kingsbury
• Arthur Grant Kingsbury, M.D.
• Elizabeth Kingsbury, PSY.D.
• Madison Kate Kingsbury
• Haran Kingstan, PSYD

• Case Manager/Care Coordinator in San Diego, CA
• Providers in San Diego, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.