Fred Boyd Kyazze, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A51997 Issued in CA

Practice address

1410 W. Alondra Blvd.
Suite C
Compton, CA 90220-3533

Phone

(310) 637-3680

Fax

(310) 637-3679

NPI assigned

Aug 2, 2005

Last updated

Mar 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fred Kyazze M D Inc

  dba Gala Care Medical Clinic

  • Primary Care Clinic/Center
  • Compton, CA
  • NPI 1528350014
  Medicare reassignment NPD Authorized official
• Gardena Hospital LP

  dba Memorial Hospital of Gardena Pharmacy

  • Institutional Pharmacy
  • Gardena, CA
  • NPI 1669491700
  NPD (past)
• St Francis Medical Center

  • Long Term Care Hospital
  • Lynwood, CA
  • NPI 1346378270
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1033110861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W. ALONDRA BLVD.",
            "address_2": "SUITE C",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203533",
            "telephone_number": "310-637-3680",
            "fax_number": "310-637-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W. ALONDRA BLVD.",
            "address_2": "SUITE C",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203533",
            "telephone_number": "310-637-3680",
            "fax_number": "310-637-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYAZZE",
        "first_name": "FRED",
        "middle_name": "BOYD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A51997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine M Kono-Song
• Korouri Sage Bina Professional Dental Inc (PHD Dental of Compton)
• Michele Kramer
• Maita Siti Kuvhenguhwa, M.D.
• Lily Kwan, RPH
• La Comprehensive Medical Group
• La County Mental Health
• La County Probation
• Maryann Lam
• Deborah Lambert, MSW

• Family Medicine Physician in Compton, CA
• Providers in Compton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.