Healthcare Provider Details

I. General information

NPI: 1760863443
Provider Name (Legal Business Name): KAYLA FERRARI SCHMIDT PA-C, MPAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13010 POWAY RD
POWAY CA
92064-4520
US

IV. Provider business mailing address

13010 POWAY RD
POWAY CA
92064-4520
US

V. Phone/Fax

Practice location:
  • Phone: 858-218-3000
  • Fax:
Mailing address:
  • Phone: 858-218-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA52537
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: