DR. KAITLIN PHELAN
NPI 1164195053
Nurse Practitioner - Pediatrics in San Diego, CA

Active since July 27, 2021
6475 ALVARADO RD STE 120, SAN DIEGO, CA 92120(619) 583-6133 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2022, Jan 21, 2022, Nov 28, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Kaitlin Phelan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KAITLIN PHELAN (NPI 1164195053) is an individual pediatrics provider in San Diego, California, licensed in California (95017926) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1164195053
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDR. KAITLIN PHELAN
Location Address6475 ALVARADO RD STE 120San Diego, CA 92120-5007
Mailing Address9366 Redwood Dr Apt BLa Jolla, CA 92037-1514 · (303) 257-8902
Sole ProprietorNo
Enumeration DateJuly 27, 2021
Last NPPES UpdateMay 26, 20224 updates tracked since enumeration
NPPES CertifiedMay 26, 2022
NPI 1164195053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · 95017926
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95017926 (CA)
6475 ALVARADO RD STE 120, San Diego, CA 92120

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
6475 ALVARADO RD STE 120
SAN DIEGO, CA 92120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlin Phelan's NPI number?

The NPI number for Kaitlin Phelan is 1164195053. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Kaitlin Phelan located?

Kaitlin Phelan practices at 6475 Alvarado Rd Ste 120, San Diego, CA 92120. The listed phone number is (619) 583-6133.

What is Kaitlin Phelan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kaitlin Phelan was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.