Organization Active NPI

KCS, Inc.

Doing business as KCS Health Center

  • Federally Qualified Health Center (FQHC)
  • Buena Park, CA
National Provider Identifier
1225125693
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
KCS, INC.
Doing business as
KCS Health Center
Practice address
7212 Orangethorpe Ave Ste 9a
Buena Park, CA 90621-4668
Phone
(714) 503-6550
Fax
(714) 409-3075
NPI assigned
Oct 6, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Mr. Kay AhnNPI 1669044277
Title
Chief Operations Officer and Cio
Phone
(714) 527-6561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

7212 Orangethorpe Ave Ste 9a
Buena Park, CA 90621-4668

Mailing address

451 W Lincoln Ave Ste 100
Anaheim, CA 92805-2912
Phone (714) 503-6550

Other names 1

  • KCS Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160926002445 CA Part A Provider - Federally Qualified Health Center (FQHC) 0446495105 Practice locations: Buena Park, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225125693. Details of each certification follow.

Federally qualified health center certification: CCN 751902

Legal name
KCS, INC.
Doing business as
KCS HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 30, 2016
Last certification
Aug 30, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 8, 1977 in CA
Enrollment address
7212 Orangethorpe Ave
Ste 9a
Buena Park, CA 90621-4668

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

7212 Orangethorpe Ave
Ste 9A
Buena Park, CA 90621
Phone (714) 449-1125

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
KCS, Inc. Organization, Anaheim, CA Corporation, Non-profit Operational/Managerial Control Aug 30, 2016
Nancy Park Individual Corporate Director Jan 1, 2021
Maria Calderon Individual Corporate Director Jan 1, 2021
Kay Ahn Individual Corporate Director Dec 1, 1999
Jung Lee Individual Corporate Director Jan 1, 2021
Clara Im Individual Corporate Director Jan 1, 2021
Thomas Lee Individual Corporate Director Jan 1, 2021
Ellen Ahn Individual W-2 Managing Employee Jul 1, 1996
Operational/Managerial Control Jul 1, 1996
Davide Pigliacelli Individual Corporate Director Jan 1, 2021

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1225125693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W LINCOLN AVE STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052912",
            "telephone_number": "714-503-6550",
            "fax_number": "714-409-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 ORANGETHORPE AVE STE 9A",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214668",
            "telephone_number": "714-503-6550",
            "fax_number": "714-409-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER AND CIO",
        "authorized_official_telephone_number": "714-527-6561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KCS Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.