KST Legacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KST LEGACY INC

Practice address

4480 N San Miguel Ave
Fresno, CA 93723-9599

Phone

(929) 684-6656

NPI assigned

Aug 21, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Kuldeep Madotra

Title

Owner

Phone

(929) 684-6656

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1336055045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 N SAN MIGUEL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937239599",
            "telephone_number": "929-684-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 N SAN MIGUEL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937239599",
            "telephone_number": "929-684-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KST LEGACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "MADOTRA",
        "authorized_official_first_name": "KULDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-684-6656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi A Krum, MA
• Ericka C Kruse
• Shelly A Kruse, M.D.
• KSS Elevate Corp
• KSS Express Inc
• Ktoor
• Amelia Kubik-Aguirre
• Stephanie Anne Kubit, LMFT
• Kubo Orthodontic Group a Dental Corporation
• Robert G Kubo, DDS

• Durable Medical Equipment & Medical Supplies in Fresno, CA
• Providers in Fresno, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.