Active NPI
Richard Kakes, M. D. Inc
- Anesthesiology Physician
- Victorville, CA
National Provider Identifier
1093803801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- RICHARD KAKES, M. D. INC
- Practice address
- 16850 Bear Valley Rd
Victorville, CA 92395-5794 - Phone
- (760) 241-8000
- NPI assigned
- Oct 10, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Kakes, M.D.
- Title
- Owner/Ceo
- Phone
- (310) 569-4051
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
16850 Bear Valley Rd
Victorville, CA 92395-5794
Mailing address
3605 W Hidden LN Unit 215
Rolling Hills Estates, CA 90274-4110
Phone (310) 569-4051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A618590 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093803801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 W HIDDEN LN UNIT 215",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902744110",
"telephone_number": "310-569-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16850 BEAR VALLEY RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955794",
"telephone_number": "760-241-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD KAKES, M. D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KAKES",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "310-569-4051",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A618590",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.