Individual provider Active NPI

Khrist Kakosimidi

  • Durable Medical Equipment & Medical Supplies
  • North Hollywood, CA
National Provider Identifier
1487685137
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
45059 Issued in CA
Practice address
12154 Hamlin St
North Hollywood, CA 91606-1409
Phone
(818) 760-2156
Fax
(818) 942-7059
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 45059 CA Primary

Addresses

Primary practice location

12154 Hamlin St
North Hollywood, CA 91606-1409

Mailing address

12154 Hamlin St
North Hollywood, CA 91606-1409
Phone (818) 760-2156

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

State licenses

LicenseStateTypeSpecialty
45059CAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Myhhbs Inc. Current Accepting new patients
Dermacraft Inc Current Accepting new patients
Queen of Angels Medical Supply Inc Durable Medical Equipment & Medical Supplies Current Accepting new patients
Khrist Kakosimidi Durable Medical Equipment & Medical Supplies Past Accepting new patients

Locations

12154 Hamlin St
North Hollywood, CA 91606
Phone (818) 760-2156

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1487685137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12154 HAMLIN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061409",
            "telephone_number": "818-760-2156",
            "fax_number": "818-760-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12154 HAMLIN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061409",
            "telephone_number": "818-760-2156",
            "fax_number": "818-942-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKOSIMIDI",
        "first_name": "KHRIST",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.