KYLA AMA DAVIS (NPI# 1972726784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972726784 |
| Entity Type | Individual |
| Full Name | KYLA AMA DAVIS |
| Credential | PA-C |
| Practice Address |
2141 N Harbor Blvd Ste 35000 Fullerton CA 92835-3831 |
| Mailing Address |
Po Box 1810 Rancho Mirage CA 92270-1059 |
| Practice Telephone | 7146268630 |
| Mailing Telephone | 7605682684 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA 9104116 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA19190 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA19190 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | AW012Y | 01 |
| CA | MEDICARE PTAN | AW012Z | 01 |
| CA | MEDICARE PTAN | AW012X | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2251 N Harbor Blvd, Fullerton, CA 928352601 | 7144496230 | |
| 39000 Bob Hope Dr, Harry & Diane Rinker Building, Rancho Mirage, CA 92270 | 7605682684 | 7608372202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427691971 | Kyla Davis | Marriage & Family Therapist | 120 E Oakland Park Blvd Ste 201, Fort Lauderdale, FL 33334-1109 | 2019-10-28 |
| 1124418710 | Kyla Saxon Davis | Pharmacy Technician | 14070 Cedar Rd, University Heights, OH 44118-3216 | 2015-02-03 |
| Street Address |
2141 N HARBOR BLVD STE 35000 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366442998 | Andrew Concoff | Internal Medicine | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2005-07-26 |
| 1013487883 | Austin James Perkins | Physician Assistant | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2018-12-04 |
| 1346716842 | Charles Alexandre Greener | Physician Assistant | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2018-10-23 |
| 1265946610 | Kate S. Boulder | Nurse Practitioner | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2017-11-21 |
| 1962787838 | Julie B Hastin | Physician Assistant | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2011-10-11 |
| 1316243769 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835 | 2011-02-02 |
| 1588872089 | Carrie M Carrillo | Physician Assistant | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2007-05-18 |
| 1760554232 | Kevin Kinzinger | Specialist | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666815 | Emi Pham | Physician Assistant | 2251 N Harbor Blvd, Fullerton, CA 92835-2601 | 2019-02-27 |
| 1326498361 | Kevin Jackson | Physician Assistant | 2251 N Harbor Blvd, Fullerton, CA 92835-2601 | 2016-06-21 |
| 1205285079 | Jane Wu | Physician Assistant | 901 W Orangethorpe Ave, Fullerton, CA 92832-2826 | 2016-06-12 |
| 1376888735 | Daniel Brian Mcconnell Jr. | Physician Assistant | 101 Laguna Rd, Suite A, Fullerton, CA 92835-3634 | 2012-12-11 |
| 1962787838 | Julie B Hastin | Physician Assistant | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2011-10-11 |
| 1306154604 | Rebecca Schilleci | Physician Assistant | 101 Laguna Rd, Suite A, Fullerton, CA 92835-3634 | 2010-09-21 |
| 1215118641 | Deirdre T Moxley | Physician Assistant | 1950 Sunnycrest Dr, Suite 2300, Fullerton, CA 92835-3638 | 2007-11-14 |
| 1063692366 | Kendra Higgins | Physician Assistant | 680 Langsdorf Dr, Suite 103, Fullerton, CA 92831-3702 | 2007-11-05 |
| 1932388840 | Jaime Neri Jr. | Physician Assistant | 2720 N Harbor Blvd, Suite 130, Fullerton, CA 92835-2609 | 2007-10-26 |
| 1831227610 | Jason Robert Cook | Physician Assistant | 2720 N Harbor Blvd, Suite 130, Fullerton, CA 92835-2609 | 2007-03-01 |
| Find all providers in FULLERTON | ||||
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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.