Active NPI
KMS Group Inc
- General Practice Physician
- Hermosa Beach, CA
National Provider Identifier
1346508710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A44107
- Legal business name
- KMS GROUP INC
- Practice address
- 1125 Monterey Blvd
Hermosa Beach, CA 90254-3785 - Phone
- (310) 819-7057
- NPI assigned
- Apr 24, 2012
- 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
- Dr. Kenneth Thomas, M.D.
- Title
- Ceo
- Phone
- (310) 819-7057
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A44107 | CA | Primary |
Addresses
Primary practice location
1125 Monterey Blvd
Hermosa Beach, CA 90254-3785
Mailing address
1125 Monterey Blvd
Hermosa Beach, CA 90254-3785
Phone (310) 819-7057
National Provider Directory
National Provider DirectoryLocations
14545 Friar St
#109
Van Nuys, CA 91411
Phone (310) 819-7057
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Glendale, CA
- NPI 1881627362
-
- Foot & Ankle Surgery Podiatrist
- Montebello, CA
- NPI 1184805335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335225600000",
"number": "1346508710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 MONTEREY BLVD",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902543785",
"telephone_number": "310-819-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 MONTEREY BLVD",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902543785",
"telephone_number": "310-819-7057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMS GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-24",
"last_updated": "2012-04-24",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-819-7057",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A44107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermosa Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.