FRED BOYD KYAZZE MD
NPI 1033110861
Family Medicine in Compton, CA

Q: What is Fred Kyazze's NPI number?

The NPI number for Fred Kyazze is 1033110861. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Q: What is Fred Kyazze's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Fred Kyazze was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 02, 2005PECOS EnrolledCLIA 05D0953999 · Waiver

1410 W. ALONDRA BLVD., SUITE C, COMPTON, CA 90220(310) 637-3680(310) 637-3679 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Fred Boyd Kyazze Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRED BOYD KYAZZE MD (NPI 1033110861) is an individual family medicine provider in Compton, California, licensed in California (A51997) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through November 15, 2026.

NPPES Registry Identity

NPI1033110861

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameFRED BOYD KYAZZECredential: MD

Location Address1410 W. ALONDRA BLVD., SUITE CCompton, CA 90220-3533

Mailing Address1410 W. Alondra Blvd., Suite CCompton, CA 90220-3533 · (310) 637-3680 · Fax (310) 637-3679

Phone(310) 637-3680

Fax(310) 637-3679

Sole ProprietorYes

Enumeration DateAugust 2, 2005

Last NPPES UpdateMarch 21, 2011

✔ NPI 1033110861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A51997

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1410 W. ALONDRA BLVD., Compton, CA 90220

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fred Boyd Kyazze Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Fred Kyazze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fred Kyazze M D Inc

Same address

Primary Care

1410 W ALONDRA BLVD, SUITE C
Compton, CA 90220

Reassigned Medicare billing, California enrollment

NPI 1528350014 (310) 637-3680

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0953999

Fred Kyazze, MD Inc Dba Gala Care Medical Clinic · Compton, CA

Active · expires Nov 15, 2026

CLIA Number05D0953999

Laboratory TypePhysician Office

Certificate Effective DateNovember 16, 2024

Certificate Expiration DateNovember 15, 2026

Laboratory DirectorFred B. Kyazze MD

Laboratory Phone(310) 637-3680

Laboratory LocationFred Kyazze, MD Inc Dba Gala Care Medical Clinic1410 W Alondra Blvd Suite C, Compton, CA 90220

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Kyazze's NPI number?

The NPI number for Fred Kyazze is 1033110861. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Fred Kyazze located?

Fred Kyazze practices at 1410 W. Alondra Blvd. Suite C, Compton, CA 90220. The listed phone number is (310) 637-3680.

What is Fred Kyazze's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fred Kyazze enrolled in Medicare?

Yes. Fred Kyazze is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fred Kyazze's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fred Kyazze reassigns Medicare benefits to Fred Kyazze M D Inc (Compton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fred Kyazze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Fred Kyazze hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0953999) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fred Kyazze was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.