Organization Active NPI

KMS Group Inc

  • General Practice Physician
  • Hermosa Beach, CA
National Provider Identifier
1346508710
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A44107 Issued in CA
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

Updated by the provider on Apr 24, 2012

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.