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

Mrs. Kyla Jan Gonzalez, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1548545494

Mrs. Kyla Jan Gonzalez, CPNP is a Nurse Practitioner in San Diego, California. Qualified in 2004, 22 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2011
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

3020 Childrens Way # MC5115
San Diego, CA 92123-4223
Phone: (858) 966-5426
Fax: (858) 966-5815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 20050688 (CA)

Record details

NPI number1548545494
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorYes
NPI enumeratedOctober 11, 2011
Last updated in NPPESOctober 11, 2011

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated

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