KAYLA SONG (NPI# 1316467152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316467152 |
| Entity Type | Individual |
| Full Name | KAYLA SONG |
| Credential | DPM |
| Practice Address |
11201 Benton St # 112g Loma Linda CA 92357-3570 |
| Mailing Address |
11201 Benton St Loma Linda CA 92357-1000 |
| Practice Telephone | 9098257084 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5549 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
11201 BENTON ST # 112G |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92357-3570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679916027 | Nicole Kristine Shah-ghassemzadeh | Internal Medicine | Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 | 2013-04-16 |
| 1760628598 | Taranjit Natt | Internal Medicine | 11201 Benton St # 111-om, Loma Linda, CA 92357 | 2008-12-29 |
| 1548355076 | Annette A Boyd -hampton | Nurse Practitioner | 11201 Benton St. -111g, Loma Linda, CA 92357 | 2006-10-03 |
| 1396830766 | Maudie Cantrell Foy | Nurse Practitioner | 11201 Benton St. (11cp), Loma Linda, CA 92357 | 2006-10-03 |
| 1427154715 | Kenneth Wong | Pharmacist | 11201 Benton St. (119), Loma Linda, CA 92357 | 2006-09-15 |
| 1801909577 | Paul Lindberg | Orthotist | 11201 Benton St./121, Loma Linda, CA 92357 | 2006-08-16 |
| 1992728703 | Harry Chen | Pharmacist | 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 | 2006-07-25 |
| 1699222661 | Nathanial Benjaman Hawkins | Psychologist | 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 | 2016-09-07 |
| 1699129692 | Victor Francis Tamagna Hogen | Internal Medicine | 11201 Benton St, Loma Linda, CA 92357 | 2016-04-16 |
| 1063877959 | Irene Thung | Pathology | 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 | 2015-12-21 |
| Find all providers in zip 92357 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992102420 | Rebecca M. Akolo | Podiatrist | 25279 Taylor St, Unit A, Loma Linda, CA 92354-3054 | 2014-11-26 |
| 1720229081 | Chirag M Patel | Podiatrist | Va Hospital Loma Linda 112 G, 11201 Benton St, Loma Linda, CA 92357-0001 | 2009-03-17 |
| 1437701091 | Dustin Rilling | Podiatrist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2019-07-14 |
| 1154842755 | Warda Saarah Shamshad | Podiatrist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2017-07-05 |
| 1083135743 | Danielle Marie Lee | Podiatrist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2017-07-03 |
| 1508393778 | Leticia Janel Juarez | Podiatrist | 11332 Mountain View Ave Ste A, Loma Linda, CA 92354-3854 | 2017-05-18 |
| 1407106321 | Andrew Camarena | Podiatrist | 11201 Benton Street, 112g, Loma Linda, CA 92357 | 2012-09-18 |
| 1134488877 | Naushad Pyarali Banani | Podiatrist | 11332 Mountain View Ave Ste A, Loma Linda, CA 92354-3854 | 2012-05-15 |
| 1033406350 | Brayton R Campbell | Podiatrist | 11201 Benton St, 3 Nw, Loma Linda, CA 92357-1000 | 2011-07-07 |
| 1033120480 | Carol Tran | Podiatrist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2006-08-11 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92357 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.