Individual provider Active NPI

Joyce A Kakkis, MD

  • Gynecology Physician
  • Long Beach, CA
National Provider Identifier
1083670640
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G48142 Issued in CA
Practice address
6700 E Pacific Coast Hwy Ste 140
Long Beach, CA 90803
Phone
(562) 799-1176
Fax
(562) 493-2823
NPI assigned
Apr 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G48142 CA Primary

Addresses

Primary practice location

6700 E Pacific Coast Hwy Ste 140
Long Beach, CA 90803

Mailing address

6700 E Pacific Coast Hwy Ste 140
Long Beach, CA 90803-4213
Phone (562) 799-1176

Other practice location 1

6553 E Pacific Coast Highway
Bldg H
Long Beach, CA 90803
Phone (562) 799-1176

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G48142CAMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1083670640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 E PACIFIC COAST HWY STE 140",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034213",
            "telephone_number": "562-799-1176",
            "fax_number": "562-493-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 E PACIFIC COAST HWY STE 140",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90803",
            "telephone_number": "562-799-1176",
            "fax_number": "562-493-2823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6553 E Pacific Coast Highway",
            "address_2": "Bldg H",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90803",
            "country_code": "US",
            "telephone_number": "562-799-1176",
            "fax_number": "562-493-2823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAKKIS",
        "first_name": "JOYCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G48142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.