Individual provider Active NPI

Kittya Paigne, MD

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1225058837
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G79550 Issued in CA
Practice address
1360 E Anaheim St
Long Beach, CA 90813-5514
Phone
(562) 218-5350
Fax
(562) 591-0109
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G79550 CA Primary

Addresses

Primary practice location

1360 E Anaheim St
Long Beach, CA 90813-5514

Mailing address

29870 Knoll View Dr
Rancho Palos Verdes, CA 90275-6438
Phone (801) 652-3526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120530000104 CA Practitioner - Internal Medicine 9739170341 Reassigns benefits to 1 organization
Practice locations: Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Utah School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1360 E Anaheim St
Suite 101
Long Beach, CA 90813-5514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Wellness Centers USA CurrentSince Jan 6, 2025 Accepting new patients
Community Medical Wellness Centers USA CurrentSince Jan 6, 2025 Accepting new patients

Locations

1533 Alamitos Ave
Long Beach, CA 90813
Phone (562) 218-5350

1360 E Anaheim St
Ste 101
Long Beach, CA 90813
Phone (562) 270-0324

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1225058837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29870 KNOLL VIEW DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756438",
            "telephone_number": "801-652-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908135514",
            "telephone_number": "562-218-5350",
            "fax_number": "562-591-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGNE",
        "first_name": "KITTYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.