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ALYSSA PETTINGILL CCLS
NPI 1407558208
Specialist in San Diego, CA

Active since March 17, 2023
4412 BOUNDARY ST, SAN DIEGO, CA 92116(916) 402-3384 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alyssa Pettingill Ccls NPPES

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

ALYSSA PETTINGILL CCLS (NPI 1407558208) is an individual specialist in San Diego, California, licensed in California (30998) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1407558208
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameALYSSA PETTINGILLCredential: CCLS
Location Address4412 BOUNDARY STSan Diego, CA 92116-4301
Mailing Address4412 Boundary StSan Diego, CA 92116-4301 · (916) 402-3384
Phone(916) 402-3384
Sole ProprietorNo
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1407558208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · 30998
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4412 BOUNDARY ST, San Diego, CA 92116
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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 Alyssa Pettingill's NPI number?

The NPI number for Alyssa Pettingill is 1407558208. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Alyssa Pettingill located?

Alyssa Pettingill practices at 4412 Boundary St, San Diego, CA 92116. The listed phone number is (916) 402-3384.

What is Alyssa Pettingill's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Alyssa Pettingill was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.