Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kaden Gray Willie, DO

Individual provider Family Medicine Physician · NPI 1790133767

Dr. Kaden Gray Willie, DO is a Family Practice in San Marcos, California. Qualified in 2016, 10 years ago. Practices with North County Health Project Inc, a 75-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

150 Valpreda Rd
San Marcos, CA 92069-2973
Phone: (760) 736-6767
Fax: (760) 736-8740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A17306 (CA)

Record details

NPI number1790133767
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 31, 2016
Last updated in NPPESAugust 28, 2019
Mailing address150 Valpreda Rd, San Marcos, CA 92069-2973

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice North County Health Project Inc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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