Kan-Di-Ki LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KAN-DI-KI LLC

Doing business as

Diagnostic Laboratories and Radiology, TridentCare, TridentCare Imaging, TridentCare at Home

Practice address

10948 Bigge St
San Leandro, CA 94577-1121

Phone

(443) 662-4101

NPI assigned

Jul 17, 2025

Last updated

Mar 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian C Cuomo

Title

Cfo

Phone

(800) 786-8015

Specialties & licenses 1

Addresses

Other names 1

• Diagnostic Laboratories and Radiology, TridentCare, TridentCare Imaging, TridentCare at Home Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Clinical Medical Laboratory
  • Irvine, CA
  • NPI 1093697757

  O20060705000173

  Same enrollment
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Clinical Medical Laboratory
  • San Leandro, CA
  • NPI 1619116761

  O20060705000173

  Same enrollment
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Hollywood, CA
  • NPI 1750364345

  O20060705000173

  Same enrollment
• Kan-Di-Ki, LLC

  dba Diagnostic Laboratories

  • Clinical Medical Laboratory
  • San Diego, CA
  • NPI 1164845871

  O20060705000173

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Kan Di Ki LLC17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Clinical Medical Laboratory
  • Irvine, CA
  • NPI 1093697757
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • North Hollywood, CA
  • NPI 1184930752
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Hollywood, CA
  • NPI 1225290174
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Van Nuys, CA
  • NPI 1316109267
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories and Radiology

  • Clinical Medical Laboratory
  • West Sacramento, CA
  • NPI 1972446565
  NPD tax ID
• Kan Di Ki, LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • Federal Way, WA
  • NPI 1447562079
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Tukwila, WA
  • NPI 1124340039
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Phoenix, AZ
  • NPI 1205158110
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Reno, NV
  • NPI 1275856643
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • Albuquerque, NM
  • NPI 1316242381
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Albuquerque, NM
  • NPI 1407164064
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • Las Vegas, NV
  • NPI 1700198330
  NPD tax ID

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Tai-Yuen Huang, M.D.

  • Diagnostic Radiology Physician
  • La Habra, CA
  • NPI 1548289416
  NPD
• Jason Y Liu, MD.

  • Diagnostic Radiology Physician
  • Newport Beach, CA
  • NPI 1790725364
  NPD
• David Herschel Berns, MD

  • Diagnostic Radiology Physician
  • Beachwood, OH
  • NPI 1518924737
  NPD
• Reono Bertagnolli, MD

  • Diagnostic Radiology Physician
  • Mooresville, NC
  • NPI 1558352948
  NPD
• Lillian Whitley Cavin, MD

  • Diagnostic Radiology Physician
  • Spicewood, TX
  • NPI 1952363913
  NPD
• James Ivan Collins, MD

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1366429383
  NPD
• Jason S Finkelstein, MD

  • Interventional Cardiology Physician
  • Decatur, TX
  • NPI 1750355103
  NPD
• Micheal B. Johnson, D.O.

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1205820842
  NPD

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1851283436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SCHILLING CIR STE 114",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311113",
            "telephone_number": "443-662-4101",
            "fax_number": "443-662-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10948 BIGGE ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771121",
            "telephone_number": "443-662-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAN-DI-KI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "CUOMO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-786-8015"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Laboratories and Radiology, TridentCare, TridentCare Imaging, TridentCare at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elliot Gregory Kamin, O.D.
• Kamiya Khatwani, DDS, Professional Corporation
• Maria Elena Kammerer, C.N.M.
• Atif Ben Kamran
• Kan-Di-Ki LLC (Diagnostic Laboratories)
• Savanna Kanester
• Charles Cholsoo Kang, M.D.
• Matthew Hoon Kang
• Yaehyun Kang
• Molly Kanter

• Clinical Medical Laboratory in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.