KMD LP

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

KMD LP

Doing business as

San Marino In the Desert

Practice address

2017 W Avenue K13
Lancaster, CA 93536-4635

Phone

(661) 418-6303

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Edward Krivitsky

Title

General Partner

Phone

(818) 371-3474

Specialties & licenses 1

Addresses

Other names 1

• San Marino In the Desert Doing business as

Tax ID family

KMD LP2 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.

• KMD LP

  • Skilled Nursing Facility
  • Lancaster, CA
  • NPI 1134582844
  NPD tax ID

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1699532408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 COLFAX AVE UNIT F",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 W AVENUE K13",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364635",
            "telephone_number": "661-418-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMD LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "KRIVITSKY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "818-371-3474"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Marino In the Desert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Walter Kling, M.D.
• Frantsesca Klioumis
• Stephen Klotz, REGISTERED NURSE
• Kmarsh Marriage and Family Therapist, PC
• KMD LP
• KMG Homecare Services LLC
• Linzy Knaster
• Ashlee Ann Knechtli
• Sherica M Knox, RADT
• Tiffany Tanganco Ko, M.D.

• Substance Abuse Rehabilitation Facility in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.