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

Kyle White

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922768860

Kyle White is a Physician Assistant in LA Mesa, California. Qualified in 2022, 4 years ago. Practices with Ear Nose and Throat Associates of San Diego a Medical Corp, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

5565 Grossmont Center Dr
LA Mesa, CA 91942-3020
Phone: (619) 464-3353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4001 W McNichols Rd, Detroit, MI 48221-3038 — (313) 993-1245

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61705 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922768860
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 20, 2021
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022
Mailing address6511 Easton Rd, New Lothrop, MI 48460-9716

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ear Nose And Throat Associates Of San Diego A Medical Corp — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Mesa