Kingsley Clinic of California, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KINGSLEY CLINIC OF CALIFORNIA, PC

Practice address

275 E Hillcrest Dr Ste 160
Thousand Oaks, CA 91360-7772

Phone

(530) 305-7637

Fax

(805) 254-0404

NPI assigned

Oct 9, 2020

Organization subpart

No

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

Authorized official

Name

James Kingsley, MDNPI 1841687142

Title

Owner

Phone

(805) 608-4001

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James R Kingsley Jr., MD

  • Internal Medicine Physician
  • Menifee, CA
  • NPI 1841687142
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1053919332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33471 BILTMORE DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925921849",
            "telephone_number": "530-305-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E HILLCREST DR STE 160",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607772",
            "telephone_number": "530-305-7637",
            "fax_number": "805-254-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY CLINIC OF CALIFORNIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-608-4001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miles Amorr Kim, DO
• Susie Kim, PHARMD
• Kimberly Zevallos Family Therapy, Inc.
• Steven A Kind, MD
• Marissa King, PA-C
• Brooke Kirksey, NP
• Ean Raphael Kleiger, D.D.S.
• Barry D Klein, MD
• Bernard Klein, M.D.
• Cameron Klein, LMFT

• Primary Care Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.