Active NPI
Kan-Di-Ki, LLC
- Clinical Medical Laboratory
- San Diego, CA
National Provider Identifier
1164845871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- KAN-DI-KI, LLC
- Practice address
- 7330 Engineer Rd
Unit B
San Diego, CA 92111-1434 - Phone
- (858) 300-4784
- Fax
- (858) 300-2657
- NPI assigned
- Jan 31, 2014
- 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
- Mr. Brian C Cuomo
- Title
- Cfo
- Phone
- (800) 786-8015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
7330 Engineer Rd
Unit B
San Diego, CA 92111-1434
Mailing address
215 Schilling Cir Ste 114
Hunt Valley, MD 21031-1113
Phone (800) 786-8015
Other names 1
- Diagnostic Laboratories
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060705000173 | CA | Part B Supplier - Independent Clinical Laboratory | 5991737140 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Irvine, CA; San Leandro, CA |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- North Hollywood, CA
- NPI 1750364345
O20060705000173
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773360000000",
"number": "1164845871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SCHILLING CIR STE 114",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210311113",
"telephone_number": "800-786-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7330 ENGINEER RD",
"address_2": "UNIT B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111434",
"telephone_number": "858-300-4784",
"fax_number": "858-300-2657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAN-DI-KI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-31",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "CUOMO",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "800-786-8015",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Diagnostic Laboratories",
"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 Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.