Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY F. KODIATH NP
NPI 1891748026
Nurse Practitioner - Adult Health in San Diego, CA

Active since May 18, 2006
3350 LAJOLLA VILLAGE DRIVE, SAN DIEGO, CA 92161(858) 552-8585 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary F. Kodiath Np NPPES

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

MARY F. KODIATH NP (NPI 1891748026) is an individual adult health provider in San Diego, California, licensed in California (366086) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1891748026
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY F. KODIATHCredential: NP
Location Address3350 LAJOLLA VILLAGE DRIVESan Diego, CA 92161-0001
Mailing Address13645 Catawba DrPoway, CA 92064-3809
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1891748026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CA · 366086
3350 LAJOLLA VILLAGE DRIVE, San Diego, CA 92161

Other Providers at the Same Location NPPES

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

Pharmacist
3350 LAJOLLA VILLAGE DRIVE
SAN DIEGO, CA 92161

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 Mary Kodiath's NPI number?

The NPI number for Mary Kodiath is 1891748026. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Mary Kodiath located?

Mary Kodiath practices at 3350 Lajolla Village Drive, San Diego, CA 92161. The listed phone number is (858) 552-8585.

What is Mary Kodiath's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mary Kodiath was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.