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

Kyle Nathaniel Willsey, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568881696

Kyle Nathaniel Willsey, DO is a Student in an Organized Health Care Education/Training Program in Tarzana, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
2
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.

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Practice location Address checks out

18321 Clark St
Tarzana, CA 91356-3501
Phone: (818) 881-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11234 Anderson St, Loma Linda, CA 92354-2804 — (909) 558-4174
  • 1000 W Carson St Bldg N-25, Torrance, CA 90502-2004 — (424) 306-7602

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 20A14770 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568881696
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 16, 2014
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020
Mailing address924 17th St Apt B, Santa Monica, CA 90403-3227

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