Individual provider Active NPI

Anthony McDonald Kingsley, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • El Monte, CA
National Provider Identifier
1750456349
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
G84127 Issued in CA
Practice address
10301 Garvey Ave Ste 100
El Monte, CA 91733-2180
Phone
(626) 448-0468
Fax
(626) 448-0438
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G84127 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X G84127 CA Primary

Addresses

Primary practice location

10301 Garvey Ave Ste 100
El Monte, CA 91733-2180

Mailing address

17203 Morningrain Ave
Cerritos, CA 90703-8322
Phone (562) 860-1846

Other identifiers 1

IdentifierTypeStateIssuer
00G841270MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000337 CA Practitioner - Internal Medicine 7416949599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2286 S Garey Ave
Pomona, CA 91766-5645
Phone (909) 464-2817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Medical Center Inc CurrentSince Aug 15, 2005 Accepting new patients
Global Health Education & Information Services Inc. CurrentSince Mar 3, 2021 Accepting new patients
Global Health Education and Information Service, Inc. Current Accepting new patients
St. Mary Medical Center Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients

Locations

500 E Carson Plaza Dr
Ste 121
Carson, CA 90746

10301 Garvey Ave
Ste 100
El Monte, CA 91733
Phone (626) 407-7284

2286 S Garey Ave
Pomona, CA 91766
Phone (909) 282-8368

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1750456349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17203 MORNINGRAIN AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038322",
            "telephone_number": "562-860-1846",
            "fax_number": "560-860-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GARVEY AVE STE 100",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332180",
            "telephone_number": "626-448-0468",
            "fax_number": "626-448-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "ANTHONY",
        "middle_name": "MCDONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G84127",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G84127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G841270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.