Kendra McCarthy

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

261665 Issued in CA

Practice address

3151 Airway Ave Ste P3
Costa Mesa, CA 92626-4626

Phone

(949) 694-7172

Fax

(949) 386-2212

NPI assigned

Mar 15, 2023

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

State licenses

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1972204014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 LORI LN",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE P3",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264626",
            "telephone_number": "949-694-7172",
            "fax_number": "949-386-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "KENDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "261665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Denise Mayorga
• Jesus Adrian Mazariegos Lopez
• Roslyn Mazi
• Sara Mbaya
• Kelly Kathlyn McCann, M.D.
• Samantha McCarthy
• Suzanne McCarthy, LVN
• Kaitlyn Joann McCarty, LMFT
• Linda Susan McCauley-McNair, R.N.
• Susanna McClarty, RN NURSE PRACTITIONE

• All providers in Costa Mesa, CA
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.