Active NPI
Kingston Health Group
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1760200356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- KINGSTON HEALTH GROUP
- Practice address
- 955 Carrillo Dr Ste 900
Los Angeles, CA 90048-5472 - Phone
- (424) 502-0336
- NPI assigned
- Oct 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Jacob Ghods
- Title
- President
- Phone
- (424) 258-0124
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
955 Carrillo Dr Ste 900
Los Angeles, CA 90048-5472
Mailing address
955 Carrillo Dr Ste 900
Los Angeles, CA 90048-5472
National Provider Directory
National Provider DirectoryLocations
955 Carrillo Dr
Ste 900
Los Angeles, CA 90048
Phone (424) 502-0336
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": "1727740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1760200356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 CARRILLO DR STE 900",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 CARRILLO DR STE 900",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485472",
"telephone_number": "424-502-0336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGSTON HEALTH GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-01",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "GHODS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JACOB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "424-258-0124"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.