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KYLER HATTENDORF DPM
NPI 1629917174
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 27, 2026
4077 FIFTH AVE # MER-35, SAN DIEGO, CA 92103(619) 260-7220 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyler Hattendorf Dpm NPPES

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

KYLER HATTENDORF DPM (NPI 1629917174) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1629917174
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKYLER HATTENDORFCredential: DPM
Location Address4077 FIFTH AVE # MER-35San Diego, CA 92103-2105
Mailing Address4077 Fifth Ave # Mer-35San Diego, CA 92103-2105 · (619) 260-7220
Phone(619) 260-7220
Sole ProprietorNo
Enumeration DateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
✔ NPI 1629917174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4077 FIFTH AVE # MER-35, San Diego, CA 92103
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Other Providers at the Same Location NPPES 20

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

DR. EMILY KOLYVAS MD, PHD
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
BRIDGET OBRIEN
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
KAREN RODRIGUEZ MD
Military Health Care Provider
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
ABIGAIL LOUISE MACKENZIE MD
Internal Medicine
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (000) 000-0000
RAYMOND FANG
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
LUKE JOHANNES IRWIN MD
Internal Medicine
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (805) 405-9192
DR. DYLAN CHRISTOPHER TOOKEY MD
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (310) 995-1419
MADELINE NGO
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220

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 Kyler Hattendorf's NPI number?

The NPI number for Kyler Hattendorf is 1629917174. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Kyler Hattendorf located?

Kyler Hattendorf practices at 4077 Fifth Ave # Mer-35, San Diego, CA 92103. The listed phone number is (619) 260-7220.

What is Kyler Hattendorf's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kyler Hattendorf was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.