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

Kyle Elliott Mock, MD

Individual provider Surgery Physician · NPI 1588911085

Kyle Elliott Mock, MD is a General Surgery in Los Angeles, California. Qualified in 2012, 14 years ago. Practices with Community Care Services LLC, a 628-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
14
Licensed in
CA, NV
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 San Pablo St Fl 7
Los Angeles, CA 90033-5313
Phone: (323) 442-6254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence A129020 (CA)
Surgery Physician Taxonomy 208600000X · Licence 18141 (NV)

Record details

NPI number1588911085
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2012
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Community Care Services Llc — 628 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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