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

Kyle Wiesenthal

Individual provider Community Health Worker · NPI 1710601240

Kyle Wiesenthal is a Community Health Worker in Sacramento, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

401 S St
Sacramento, CA 95811-6919
Phone: (916) 584-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-INTFER (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1710601240
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2022
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

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