KYRA BLONDEAUX
NPI 1508681008
Nurse Practitioner - Family in Los Angeles, CA

Active since November 19, 2024
11645 WILSHIRE BLVD STE 1120, LOS ANGELES, CA 90025(877) 650-7267 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2025, Nov 19, 2024 (2 updates tracked since 2024).

About Kyra Blondeaux NPPES

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

KYRA BLONDEAUX (NPI 1508681008) is an individual family provider in Los Angeles, California, licensed in California (95030937) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1508681008
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKYRA BLONDEAUX
Location Address11645 WILSHIRE BLVD STE 1120Los Angeles, CA 90025-6810
Mailing Address330 S Mentor Ave Unit 138Pasadena, CA 91106-3326 · (724) 487-9192
Sole ProprietorYes
Enumeration DateNovember 19, 2024
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
NPI 1508681008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95030937
11645 WILSHIRE BLVD STE 1120, Los Angeles, CA 90025

Other Providers at the Same Location NPPES

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

Physician Assistant
11645 WILSHIRE BLVD STE 1120
LOS ANGELES, CA 90025

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 Kyra Blondeaux's NPI number?

The NPI number for Kyra Blondeaux is 1508681008. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Kyra Blondeaux located?

Kyra Blondeaux practices at 11645 Wilshire Blvd Ste 1120, Los Angeles, CA 90025. The listed phone number is (877) 650-7267.

What is Kyra Blondeaux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kyra Blondeaux was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.