Organization Active NPI

Kdpkiii.Inc

  • Assisted Living Facility
  • San Diego, CA
National Provider Identifier
1154947596
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KDPKIII.INC
Practice address
6325 Dennison St
San Diego, CA 92122-2401
Phone
(858) 583-6431
Fax
(858) 587-2802
NPI assigned
Jun 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Flora KellyNPI 1134535719
Title
President
Phone
(858) 583-6431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6325 Dennison St
San Diego, CA 92122-2401

Mailing address

6311 Dennison St
San Diego, CA 92122-2401
Phone (858) 583-6431

Other names 1

  • UC CARE SENIOR LIVING III Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kdpkiiiinc2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1154947596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 DENNISON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222401",
            "telephone_number": "858-583-6431",
            "fax_number": "858-587-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 DENNISON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222401",
            "telephone_number": "858-583-6431",
            "fax_number": "858-587-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDPKIII.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-583-6431"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UC CARE SENIOR LIVING III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

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

Verify at the official NPI Registry.