NPIMap

Organization Active NPI

KBS Medical California PC

  • Interventional Pain Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1871475715
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
KBS MEDICAL CALIFORNIA PC
Practice address
145 S Fairfax Ave Ste 200&300
Los Angeles, CA 90036-2166
Phone
(909) 442-4965
NPI assigned
Jul 22, 2025
Organization subpart
Yes
Parent organization
KBS MEDICAL CALIFORNIA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Lisa Kennedy
Title
Coo
Phone
(909) 679-3482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

145 S Fairfax Ave Ste 200&300
Los Angeles, CA 90036-2166

Mailing address

169 Madison Ave Ste 15824
New York, NY 10016-5101
Phone (909) 442-4965

Other names 1

  • Innerwell Doing business as

National Provider Directory

National Provider Directory
Tax ID family
KBS Medical California PC2 organizations share this tax ID, including this one
Part of
KBS Medical California PC

Other organizations with this tax ID 1

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

Locations

145 S Fairfax Ave
Ste 200300
Los Angeles, CA 90036
Phone (909) 442-4965

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1871475715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 15824",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "909-442-4965",
            "fax_number": "844-440-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S FAIRFAX AVE STE 200&300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362166",
            "telephone_number": "909-442-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBS MEDICAL CALIFORNIA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KBS MEDICAL CALIFORNIA, PC",
        "enumeration_date": "2025-07-22",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "909-679-3482"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innerwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 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.

Verify at the official NPI Registry.