Organization Active NPI

KM Wig Co LLC

  • Prosthetic/Orthotic Supplier
  • Sacramento, CA
National Provider Identifier
1164363685
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KM WIG CO LLC
Practice address
1899 Alice Way
Sacramento, CA 95834-2806
Phone
(707) 720-4962
NPI assigned
Apr 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Akilah BlockNPI 1588520597
Title
Owner
Phone
(707) 720-4962

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
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1899 Alice Way
Sacramento, CA 95834-2806

Mailing address

1899 Alice Way
Sacramento, CA 95834-2806
Phone (707) 720-4962

National Provider Directory

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": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1164363685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 ALICE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342806",
            "telephone_number": "707-720-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 ALICE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342806",
            "telephone_number": "707-720-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM WIG CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "AKILAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-720-4962"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.