Provider Demographics
NPI:1760863443
Name:SCHMIDT, KAYLA FERRARI (PA-C, MPAP)
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:FERRARI
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:PA-C, MPAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13010 POWAY RD
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4520
Mailing Address - Country:US
Mailing Address - Phone:858-218-3000
Mailing Address - Fax:
Practice Address - Street 1:13010 POWAY RD
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4520
Practice Address - Country:US
Practice Address - Phone:858-218-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-17
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA52537363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical