Individual provider Active NPI

Kathleen Kinda, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Napa, CA
National Provider Identifier
1962039537
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95012802 Issued in CA
Practice address
3434 Villa LN Ste 150
Napa, CA 94558-6449
Phone
(707) 252-9660
Fax
(707) 258-2780
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95012802 CA Primary

Addresses

Primary practice location

3434 Villa LN Ste 150
Napa, CA 94558-6449

Mailing address

PO Box 5510
Napa, CA 94581-0510
Phone (707) 252-9660

Other practice location 1

1633 Estee Ave
Napa, CA 94558-2046
Phone (707) 363-7790

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
I20200528001888 CA Practitioner - Nurse Practitioner 3678994720 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

521 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012802CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jan 28, 2021 Accepting new patients
Spectrumcare Rehabilitation Medical Center CurrentSince Apr 1, 2020 Accepting new patients
Spectrumcare Rehabilitation Medical CurrentSince Apr 1, 2020 Accepting new patients
Regents of the University of California CurrentSince Jan 28, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 28, 2021 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 28, 2021 Accepting new patients
University of California San Francisco CurrentSince Jan 28, 2021 Accepting new patients

Locations

3434 Villa Ln
Ste 150
Napa, CA 94558
Phone (707) 252-9660

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Interoperability endpoints

  • Direct secure messaging: kkinda26510@direct-ucsfmedicalcenter.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1962039537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5510",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945810510",
            "telephone_number": "707-252-9660",
            "fax_number": "707-258-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 VILLA LN STE 150",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586449",
            "telephone_number": "707-252-9660",
            "fax_number": "707-258-2780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1633 Estee Ave",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945582046",
            "country_code": "US",
            "telephone_number": "707-363-7790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDA",
        "first_name": "KATHLEEN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95012802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.