KINGSLEY CLINIC OF CALIFORNIA, PC
NPI 1053919332
Clinic/Center - Primary Care in Thousand Oaks, CA
About Kingsley Clinic Of California, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINGSLEY CLINIC OF CALIFORNIA, PC (NPI 1053919332) is a healthcare organization registered as a primary care in Thousand Oaks, California and active in the NPI registry since October 2020. The organization lists James Kingsley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kingsley Clinic Of California, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kingsley Clinic Of California, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kingsley Clinic Of California, PC's NPI number?
The NPI number for Kingsley Clinic Of California, PC is 1053919332. It was assigned to this organization in the NPPES registry on October 9, 2020.
Where is Kingsley Clinic Of California, PC located?
Kingsley Clinic Of California, PC is located at 275 E Hillcrest Dr Ste 160, Thousand Oaks, CA 91360. The listed phone number is (530) 305-7637.
What is Kingsley Clinic Of California, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Kingsley Clinic Of California, PC enrolled in Medicare?
Yes. Kingsley Clinic Of California, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kingsley Clinic Of California, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Kingsley Clinic Of 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kingsley Clinic Of California, PC was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kingsley Clinic Of California, Pc · NPI 1053919332
Primary Care organization in Thousand Oaks, California. Organization record, active in the CMS NPPES registry since October 9, 2020.
## Identity
- **NPI:** 1053919332 (Entity type: Organization)
- **Enumerated:** October 9, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** James Kingsley, OWNER
## Practice location
- **Address:** 275 E HILLCREST DR STE 160, Thousand Oaks, CA 91360-7772
- **Phone:** (530) 305-7637 · **Fax:** (805) 254-0404
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053919332) · Data from the CMS NPPES public registry.