MEDICARE: MR. KYLE M ST. JOHN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA2989	ME
2	363A00000X	Physician Assistant	PA15865	CA

General Provider Information

NPI Number	:	1942413877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KYLE M ST. JOHN PA-C

Provider Business Mailing Address
First Line	:	PO BOX 22340
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92192-2340
Country	:	US
Telephone Number	:	619-417-9108
Fax Number	:

Provider Business Practice Location Address
First Line	:	3444 KEARNY VILLA RD STE 202
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1960
Country	:	US
Telephone Number	:	858-874-3444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	02/02/2026

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1730174806 — DR. MARK RAYBECK M.D.
Practice Location Address:

3444 KEARNY VILLA RD STE 100
SAN DIEGO, CA
92123-1960

Practice Phone: 858-268-3566
Practice Fax:

1710956719 — DR. DANIEL J CARUSILLO M.D.
Practice Location Address:

3444 KEARNY VILLA RD
SAN DIEGO, CA
92123-1960

Practice Phone: 858-268-3566
Practice Fax:

1366483596 — DR. JOHN MALCOLM LAPOINT M.D.
Practice Location Address:

3444 KEARNY VILLA RD
SAN DIEGO, CA
92123-1960

Practice Phone: 858-874-8533
Practice Fax: 858-637-2941

1578676524 — M.D. ANESTHESIA CONSULTANTS, AMC
Practice Location Address:

3444 KEARNY VILLA RD STE 100
SAN DIEGO, CA
92123-1960

Practice Phone: 858-268-3566
Practice Fax:

1316056492 — THOMAS WILLIAM HARRIS M.D.
Practice Location Address:

3444 KEARNY VILLA RD STE 202
SAN DIEGO, CA
92123-1960

Practice Phone: 858-874-3444
Practice Fax:

Directions to “ MR. KYLE M ST. JOHN PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.