KMD LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

550003405 Issued in CA

Legal business name

KMD LP

Doing business as

SAN MARINO IN THE DESERT

Practice address

2017 W Avenue K13
Lancaster, CA 93536-4635

Phone

(818) 371-3474

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Tatyana Krivitsky

Title

Supervisor

Phone

(818) 371-3474

Specialties & licenses 1

Addresses

Other names 1

• SAN MARINO IN THE DESERT Doing business as

Tax ID family

KMD LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• KMD LP

  • Substance Abuse Rehabilitation Facility
  • Lancaster, CA
  • NPI 1699532408
  NPD tax ID

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1134582844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 COLFAX AVE UNIT F",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 W AVENUE K13",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364635",
            "telephone_number": "818-371-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMD LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "KRIVITSKY",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "818-371-3474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550003405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN MARINO IN THE DESERT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Lynn Klein
• Richard Walter Kling, M.D.
• Frantsesca Klioumis
• Stephen Klotz, REGISTERED NURSE
• Kmarsh Marriage and Family Therapist, PC
• KMD LP
• KMG Homecare Services LLC
• Linzy Knaster
• Ashlee Ann Knechtli
• Sherica M Knox, RADT

• Skilled Nursing Facility in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.