KBS MEDICAL CALIFORNIA PC
NPI 1043923964
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since January 05, 2023
145 S FAIRFAX AVE STE 200, LOS ANGELES, CA 90036(844) 942-5424 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2026, Jun 30, 2025, Jan 5, 2023 (3 updates tracked since 2023).

About Kbs Medical California Pc NPPES

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

KBS MEDICAL CALIFORNIA PC (NPI 1043923964) is a healthcare organization registered as a psychiatry in Los Angeles, California and active in the NPI registry since January 2023. The organization lists Lisa Kennedy, Coo, as its authorized official.

NPPES Registry Identity

NPI1043923964
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameKBS MEDICAL CALIFORNIA PC
Location Address145 S FAIRFAX AVE STE 200Los Angeles, CA 90036-2186
Mailing Address169 Madison Ave Ste 15824New York, NY 10016-5101 · Fax (844) 440-2410
Organization SubpartNo
Authorized OfficialLisa KennedyCoo · (212) 620-3053
Enumeration DateJanuary 5, 2023
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1043923964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
145 S FAIRFAX AVE STE 200, Los Angeles, CA 90036

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kbs Medical California Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Kbs Medical California PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Marriage and Family Therapist
NPI 1780193227
145 S FAIRFAX AVE STE 200&300
Los Angeles, CA 90036
(909) 679-3482
✔ PECOSSame address
Nurse Practitioner
NPI 1013614122
145 S FAIRFAX AVE STE 200
Los Angeles, CA 90036
(909) 679-3482
✔ PECOSSame address
Nurse Practitioner
NPI 1003314774
145 S FAIRFAX AVE STE 200&300
Los Angeles, CA 90036
(909) 679-3482
✔ PECOSSame address
Marriage and Family Therapist
NPI 1871945048
301 9TH ST STE 100-173
Redlands, CA 92374
(909) 654-5992
✔ PECOS68 mi
Nurse Practitioner
NPI 1134952625
9845 ERMA RD STE 200
San Diego, CA 92131
(616) 402-3028
✔ PECOS107 mi

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

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 Kbs Medical California PC's NPI number?

The NPI number for Kbs Medical California PC is 1043923964. It was assigned to this organization in the NPPES registry on January 5, 2023.

Where is Kbs Medical California PC located?

Kbs Medical California PC is located at 145 S Fairfax Ave Ste 200, Los Angeles, CA 90036. The listed phone number is (844) 942-5424.

What is Kbs Medical California PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kbs Medical California PC enrolled in Medicare?

Yes. Kbs Medical California PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kbs Medical California PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Kbs Medical California PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Marriage and Family Therapist (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kbs Medical California PC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.