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

Jason Tai Kreider, NP

Individual provider Nurse Practitioner · NPI 1063034601

Jason Tai Kreider, NP is a Nurse Practitioner in Playa del Rey, California. Qualified in 2019, 7 years ago. Practices with West Coast Wound and Skin Care Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
7
Licensed in
AZ, CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

7741 Saint Bernard St Apt 2
Playa del Rey, CA 90293-8318
Phone: (858) 245-6645
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95014032 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 241073 (AZ)

Record details

NPI number1063034601
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedMay 16, 2020
Last updated in NPPESMay 16, 2020
Certification dateMay 16, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice West Coast Wound And Skin Care Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount