Kuokoa DME Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KUOKOA DME PROFESSIONAL CORPORATION

Doing business as

Kuokoa DME

Practice address

1205 Linda Vista Dr Ste B
San Marcos, CA 92078-3825

Phone

(760) 304-8166

NPI assigned

Dec 19, 2024

Last updated

Apr 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Spencer Smith, MDNPI 1346448933

Title

President

Phone

(808) 652-3621

Specialties & licenses 1

Addresses

Other names 1

• Kuokoa DME Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Spencer David Smith, M.D.

  • Emergency Medicine Physician
  • Quincy, IL
  • NPI 1346448933
  NPD Authorized official

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1649088857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 LINDA VISTA DR STE B",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920783825",
            "telephone_number": "760-304-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 LINDA VISTA DR STE B",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920783825",
            "telephone_number": "760-304-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUOKOA DME PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-652-3621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kuokoa DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Krylow, DDS
• Alan Krystal
• May Kubo
• Anamika Kundu
• George Yung Kung, M.D.
• Evan Anothony Kusmier
• Evelyn Kwan, PHARM.D.
• L'Abri Medical
• Natasha Lafave, RN, IHP
• Lake Medical Center, Inc.

• Primary Care Clinic/Center in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.