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KAGAN KACZMAR
NPI 1912564139
Student in an Organized Health Care Education/Training Program in Azusa, CA

Active since May 22, 2019
901 E ALOSTA AVE, AZUSA, CA 91702(626) 969-3434 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kagan Kaczmar NPPES

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

KAGAN KACZMAR (NPI 1912564139) is an individual student in an organized health care education/training program in Azusa, California and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1912564139
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAGAN KACZMAR
Location Address901 E ALOSTA AVEAzusa, CA 91702-2701
Mailing Address3811 Bluff Pl Apt 18San Pedro, CA 90731-7024
Phone(626) 969-3434
Sole ProprietorNo
Enumeration DateMay 22, 2019
✔ NPI 1912564139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
901 E ALOSTA AVE, Azusa, CA 91702
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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.

MARY A RAWLINGS
Social Worker (Clinical)
901 E ALOSTA AVE
AZUSA, CA 91702
Los Angeles County (626) 815-6000
STANTON T EMERSON DO
Family Medicine
901 E ALOSTA AVE
AZUSA, CA 91702
Los Angeles County (626) 815-2100
CADE JEFFREY UKRAINETZ
Student in an Organized Health Care Education/Training Program
901 E ALOSTA AVE
AZUSA, CA 91702
Los Angeles County (626) 969-3434
ROBERTO QUINTERO III
Specialist/Technologist (Athletic Trainer)
901 E ALOSTA AVE
AZUSA, CA 91702
Los Angeles County (855) 440-2824
KEILONI MARIE SMITH
Specialist/Technologist (Athletic Trainer)
901 E ALOSTA AVE
AZUSA, CA 91702
Los Angeles County (626) 969-3434
CHARLES STEVEN GREAVES ATC
Specialist/Technologist (Athletic Trainer)
901 E ALOSTA AVE
AZUSA, CA 91702
Los Angeles County (626) 815-6000
DR. CHRISTOPHER RAYMOND SCHMIDT PHD, ATC
Specialist/Technologist (Athletic Trainer)
901 E ALOSTA AVE
AZUSA, CA 91702
Los Angeles County (626) 815-6000
KRYSTAL RIOS
Student in an Organized Health Care Education/Training Program
901 E ALOSTA AVE
AZUSA, CA 91702
Los Angeles County (626) 969-3434

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 Kagan Kaczmar's NPI number?

The NPI number for Kagan Kaczmar is 1912564139. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Kagan Kaczmar located?

Kagan Kaczmar practices at 901 E Alosta Ave, Azusa, CA 91702. The listed phone number is (626) 969-3434.

What is Kagan Kaczmar'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 Kagan Kaczmar was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.