Kakkis Medical Group Inc

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G48142 Issued in CA

Legal business name

KAKKIS MEDICAL GROUP INC

Practice address

6700 E Pacific Coast Hwy Ste 140
Long Beach, CA 90803-4213

Phone

(562) 799-1176

Fax

(562) 493-2823

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joyce A Kakkis, MD

Title

President

Phone

(562) 799-1176

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1356557060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 E PACIFIC COAST HWY STE 140",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034213",
            "telephone_number": "562-799-1176",
            "fax_number": "562-493-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 E PACIFIC COAST HWY STE 140",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034213",
            "telephone_number": "562-799-1176",
            "fax_number": "562-493-2823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W Stewart Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683849",
            "country_code": "US",
            "telephone_number": "714-771-8950",
            "fax_number": "714-744-8541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAKKIS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "KAKKIS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-799-1176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G48227",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G48142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan Inc
• Rena Kaiser, NURSE PRACTITIONER
• Brooke Amy Kajdas, RN, IBCLC
• Amy H Kaji, MD
• Hafsa Kaka
• Joyce A Kakkis, MD
• Gita Jamshidi Kalantari, MD
• Cassandra Kalapsa
• Robert Wayne Kalayjian, M.D.
• Lauren Kaldjian, DPT

• Gynecology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.