Active NPI
Kevin Eugene Hosley
- Peer Specialist
- Los Angeles, CA
National Provider Identifier
1053270249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 3870 Crenshaw Blvd
Los Angeles, CA 90008-1837 - Phone
- (562) 480-9112
- NPI assigned
- Jan 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CA | Primary |
Addresses
Primary practice location
3870 Crenshaw Blvd
Los Angeles, CA 90008-1837
Mailing address
106 E Cypress St
Compton, CA 90220-3818
Phone (562) 480-9112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1053270249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 E CYPRESS ST",
"city": "COMPTON",
"state": "CA",
"postal_code": "902203818",
"telephone_number": "562-480-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3870 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900081837",
"telephone_number": "562-480-9112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSLEY",
"first_name": "KEVIN",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-21",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.