KD Care Facility, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KD CARE FACILITY, INC.

Doing business as

Guardian Senior Homes on Madison

Practice address

3080 Madison Ave
Costa Mesa, CA 92626-2824

Phone

(714) 679-2590

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Khanh K DO

Title

Ceo

Phone

(714) 679-2590

Specialties & licenses 1

Addresses

Other names 1

• Guardian Senior Homes on Madison Doing business as

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1689380057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 MADISON AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262824",
            "telephone_number": "714-679-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 MADISON AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262824",
            "telephone_number": "714-679-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD CARE FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "KHANH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-679-2590"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Senior Homes on Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kavita Sinha, MD, Inc. (Coastal X Wellness)
• Carmina Keiko Kawasaki
• Mindy Kaya
• Melinda Elizabeth Kayl
• Farshid Kazi, MD
• McKenzie Jane Keasberry-Vnuk
• Matthew Kee
• Yung Kee, M.D.
• Pamela Keeler
• Nelae Jontue Keene, PA-C

• Assisted Living Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.