Kyle KS Exzabe

Primary specialty

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

Practice address

3628 Madison Ave Ste 6
North Highlands, CA 95660-5070

Phone

(916) 567-4222

Fax

(916) 567-4220

NPI assigned

Sep 15, 2022

Sex

Male

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

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1942922927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 MADISON AVE STE 6",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605070",
            "telephone_number": "916-567-4222",
            "fax_number": "916-567-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 MADISON AVE STE 6",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605070",
            "telephone_number": "916-567-4222",
            "fax_number": "916-567-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXZABE",
        "first_name": "KYLE",
        "middle_name": "KS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Megan Ernst
• Breiah Latrice Estes, PA-C
• Amber M Eubanks, BA
• Tinelle Renee Evans Reno, LPCC
• Elena Elizabeth Evenich
• Eye 2 Eye Family Optometry, PC
• Danny Choua Fang
• Patrice Farquharson, PA-C
• Arthur Fedics, M.D
• Alvin Martin Ferrer Jr., PHARM.D.

• Student in an Organized Health Care Education/Training Program in North Highlands, CA
• Providers in North Highlands, 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 Sep 15, 2022; 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.