Active NPI
Kevin King
- Assistive Technology Supplier Rehabilitation Counselor
- Perris, CA
National Provider Identifier
1477888097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Rehabilitation Counselor
- Practice address
- 3322 Connors Dr.
Perris, CA 92571-7619 - Phone
- (951) 551-3711
- Fax
- (951) 940-8146
- NPI assigned
- Oct 15, 2009
- Last updated
- Oct 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Supplier Rehabilitation Counselor | 225CA2500X | Primary |
Addresses
Primary practice location
3322 Connors Dr.
Perris, CA 92571-7619
Mailing address
3322 Connors Dr
Perris, CA 92571-7619
Phone (951) 551-3711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1477888097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3322 CONNORS DR",
"city": "PERRIS",
"state": "CA",
"postal_code": "925717619",
"telephone_number": "951-551-3711",
"fax_number": "951-940-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 CONNORS DR.",
"city": "PERRIS",
"state": "CA",
"postal_code": "925717619",
"telephone_number": "951-551-3711",
"fax_number": "951-940-8146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KEVIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225CA2500X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.