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Kyra Fisher

Psychologist, Clinical Child & Adolescent in Loma Linda, CA. Individual provider (NPI-1).

NPI number1134098577
StatusActive
Last updated in NPPESNov 3, 2025

Details

NPI
1134098577
Entity type
Individual (NPI-1)
Name
Kyra Fisher
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 3, 2025
Certification date
Nov 3, 2025
Last updated
Nov 3, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC2200X Psychologist, Clinical Child & Adolescent––Yes

Practice location

11175 Campus St
Loma Linda, CA 92350-1700

Phone 323-863-3294

Mailing address

1075 W Edmundson Ave
Morgan Hill, CA 95037-4760

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Child & Adolescent Psychologist providers in Loma Linda, CA

All 5 Clinical Child & Adolescent Psychologist providers in Loma Linda · All 5,377 providers in Loma Linda

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