MR. KENDALL RAY HAYDEL II (NPI# 1316579931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316579931 |
| Entity Type | Individual |
| Full Name | MR. KENDALL RAY HAYDEL II |
| Credential | PMH-NP |
| Practice Address |
31194 La Baya Dr Westlake Village CA 91362-4022 |
| Mailing Address |
13700 Marina Pointe Dr Unit 822 Marina Del Rey CA 90292-9263 |
| Practice Telephone | 8053413416 |
| Mailing Telephone | 3372560188 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95013912 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
31194 LA BAYA DR |
| City | WESTLAKE VILLAGE |
| State | CA |
| Zip Code | 91362-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366587149 | Katherine Anne Mccune | Dietitian, Registered | 31194 La Baya Dr, Suite 107, Westlake Village, CA 91362-4022 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538624200 | Scott Myers | Physical Therapist | 1145 Lindero Canyon Rd Ste D7, Thousand Oaks, CA 91362 | 2019-02-06 |
| 1366940827 | Kevin A Attaie Pharmaceutical, Inc | Pharmacy | 2945 Townsgate Rd., Suite 200, Westlake Village, CA 91362 | 2018-01-30 |
| 1497294953 | Tiffany Shah | Marriage & Family Therapist | 128 Auburn Ct Ste 106, Westlake Village, CA 91362 | 2017-02-16 |
| 1538604913 | Robin Sakakini | Psychologist | 31255 Cedar Valley Road, Westlake Village, CA 91362 | 2016-12-21 |
| 1851843858 | Trusted Family Homecare | In Home Supportive Care | 1429 E Thousand Oaks Blvd Ste 201, Thousand Oaks, CA 91362 | 2016-10-26 |
| 1396191896 | Andrey Rossius Dds Inc | Dentist | 3665 East Thousand Oaks Blvd, Westlake Village, CA 91362 | 2016-05-13 |
| 1497130462 | Jennifer Kopczynski | Marriage & Family Therapist | 4035 E Thousand Oaks Blvd Ste 100, Westlake Village, CA 91362 | 2015-07-20 |
| 1588057335 | Allison Lieberman | Marriage & Family Therapist | 31194 La Baya Dr Ste 202, Westlake Village, CA 91362 | 2015-03-17 |
| 1427449586 | Natalie Mondschein | Massage Therapist | 128 Auburn Court, Suite 100, Westlake Village, CA 91362 | 2015-02-11 |
| 1891193538 | Rylist, Inc. | Substance Abuse Rehabilitation Facility | 1154 Cardiff Cir, Thousand Oaks, CA 91362 | 2014-12-11 |
| Find all providers in zip 91362 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710344999 | Amanda Duwick | Nurse Practitioner | 650 Hampshire Rd Ste 118, Westlake Village, CA 91361-2536 | 2016-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | WESTLAKE VILLAGE |
| Zip Code | 91362 |
Please comment or provide details below to improve the information on MR. KENDALL RAY HAYDEL II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.