Active NPI
KCS, Inc.
Doing business as KCS Health Center
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- KCS, INC.
- Doing business as
- KCS Health Center
- Practice address
- 451 W Lincoln Ave Ste 100
Anaheim, CA 92805-2912 - Phone
- (714) 503-6550
- Fax
- (714) 409-3075
- NPI assigned
- Aug 7, 2008
- Last updated
- Feb 12, 2026
- 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
- Mr. Kay Ahn
- Title
- Chief Operations Officer and Cio
- Phone
- (714) 503-6550
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 3000601100 | CA | |
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
451 W Lincoln Ave Ste 100
Anaheim, CA 92805-2912
Mailing address
451 W Lincoln Ave Ste 100
Anaheim, CA 92805-2912
Phone (714) 503-6550
Other names 1
- KCS Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211118000437 | CA | Part B Supplier - Clinic/Group Practice | 0446495105 |
Receives reassigned benefits from 33 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Irvine, CA; Buena Park, CA; Anaheim, CA |
| O20220302002347 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 0446495105 | Practice locations: Anaheim, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1992951180. Details of each certification follow.
Federally qualified health center certification: CCN A01064
- Legal name
- KCS, INC.
- Doing business as
- KCS HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 1, 2022
- Last certification
- Mar 1, 2022
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Enrollment address
- 451 W Lincoln Ave
Ste 100
Anaheim, CA 92805-2912
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba KCS Health Center
- Federally Qualified Health Center (FQHC)
- Buena Park, CA
- NPI 1225125693
0446495105
-
dba KCS Health Center
- Federally Qualified Health Center (FQHC)
- Buena Park, CA
- NPI 1588252027
0446495105
-
dba KCS Health Center
- Federally Qualified Health Center (FQHC)
- Buena Park, CA
- NPI 1831600634
0446495105
-
dba KCS Health Center
- Federally Qualified Health Center (FQHC)
- Buena Park, CA
- NPI 1861525602
0446495105
-
dba KC Services
- Federally Qualified Health Center (FQHC)
- Irvine, CA
- NPI 1932746864
0446495105
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba KCS Health Center
- Federally Qualified Health Center (FQHC)
- Buena Park, CA
- NPI 1588252027
O20211118000437
-
dba KCS Health Center
- Federally Qualified Health Center (FQHC)
- Buena Park, CA
- NPI 1831600634
O20211118000437
-
dba KCS Health Center
- Federally Qualified Health Center (FQHC)
- Buena Park, CA
- NPI 1861525602
O20211118000437
-
dba KC Services
- Federally Qualified Health Center (FQHC)
- Irvine, CA
- NPI 1932746864
O20211118000437
National Provider Directory
National Provider Directory- Tax ID family
- Korean Community Services Inc
Other organizations with this tax ID 18
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Buena Park, CA
- NPI 1104484344
-
dba KCS Health Center
- Federally Qualified Health Center (FQHC)
- Buena Park, CA
- NPI 1295688083
-
- Community/Behavioral Health Agency
- Buena Park, CA
- NPI 1306218268
-
dba KCS Health Center
- Federally Qualified Health Center (FQHC)
- Buena Park, CA
- NPI 1588252027
Locations
8352 Commonwealth Ave
Buena Park, CA 90621
Phone 714503655036401
8633 Knott Ave
Buena Park, CA 90620
Phone (714) 527-6561
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Nancy Park | Corporate Director | Jan 1, 2021 | |
| Maria Calderon | Corporate Director | Jan 1, 2021 | |
| Kay Ahn | Corporate Director | Dec 1, 1999 | |
| Jung Lee | Corporate Director | Jan 1, 2021 | |
| Clara Im | Corporate Director | Jan 1, 2021 | |
| Thomas Lee | Corporate Director | Jan 1, 2021 | |
| Ellen Ahn | W-2 Managing Employee | Jul 1, 1996 | |
| Operational/Managerial Control | Jul 1, 1996 | ||
| Davide Pigliacelli | Corporate Director | Jan 1, 2021 |
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| KCS Health Center | Federally qualified health center | Operational/Managerial Control | Aug 30, 2016 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba KCS Health Center
- Federally Qualified Health Center (FQHC)
- Buena Park, CA
- NPI 1225125693
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Psychiatry Physician
- Chico, CA
- NPI 1720189939
-
- Family Nurse Practitioner
- Buena Park, CA
- NPI 1073022828
-
- Internal Medicine Physician
- Buena Park, CA
- NPI 1487733754
-
- Ophthalmology Physician
- Buena Park, CA
- NPI 1255431300
-
- Psychiatric/Mental Health Nurse Practitioner
- Buena Park, CA
- NPI 1144686577
-
- Family Nurse Practitioner
- Anaheim, CA
- NPI 1275908832
-
- Chiropractor
- Tustin, CA
- NPI 1750089892
-
- Pediatric Optometrist
- Fullerton, CA
- NPI 1922190321
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Anaheim, CA
- NPI 1376544874
-
- Dentist
- Fresno, CA
- NPI 1629702618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1992951180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 W LINCOLN AVE STE 100",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052912",
"telephone_number": "714-503-6550",
"fax_number": "714-409-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 W LINCOLN AVE STE 100",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052912",
"telephone_number": "714-503-6550",
"fax_number": "714-409-3075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KCS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-07",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "AHN",
"authorized_official_first_name": "KAY",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER AND CIO",
"authorized_official_telephone_number": "714-503-6550",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "3000601100",
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KCS Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.