Organization Active NPI

Kdpki,Inc.

  • Assisted Living Facility
  • San Diego, CA
National Provider Identifier
1679109979
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KDPKI,INC.
Doing business as
UC CARE SENIOR LIVING I
Practice address
3664 Governor Dr
San Diego, CA 92122-2418
Phone
(858) 583-6431
Fax
(858) 587-2802
NPI assigned
Mar 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Flora Kelly
Title
President
Phone
(858) 583-6431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3664 Governor Dr
San Diego, CA 92122-2418

Mailing address

6311 Dennison St
San Diego, CA 92122-2401
Phone (858) 583-6431

Other names 1

  • UC CARE SENIOR LIVING I Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kdpkiiiinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1679109979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 DENNISON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222401",
            "telephone_number": "858-583-6431",
            "fax_number": "857-587-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 GOVERNOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222418",
            "telephone_number": "858-583-6431",
            "fax_number": "858-587-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDPKI,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-583-6431"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UC CARE SENIOR LIVING I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.