K C MEDICAL GROUP INC
NPI 1144733247
Clinic/Center - Primary Care in Burbank, CA

Active since November 10, 2017
191 S BUENA VISTA ST STE 375, BURBANK, CA 91505(818) 729-0014(818) 729-0019 Get Directions Write a Review

NPPES record last updated: November 10, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About K C Medical Group Inc NPPES

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

K C MEDICAL GROUP INC (NPI 1144733247) is a healthcare organization registered as a primary care in Burbank, California and active in the NPI registry since November 2017. The organization lists Treasa Davis, President, as its authorized official.

NPPES Registry Identity

NPI1144733247
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameK C MEDICAL GROUP INC
Location Address191 S BUENA VISTA ST STE 375Burbank, CA 91505-4558
Mailing Address10648 Woodbridge St Unit 302North Hollywood, CA 91602-3630 · (818) 729-0014 · Fax (818) 729-0019
Fax(818) 729-0019
Organization SubpartNo
Authorized OfficialTreasa DavisPresident · (818) 729-0014
Enumeration DateNovember 10, 2017
✔ NPI 1144733247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
191 S BUENA VISTA ST STE 375, Burbank, CA 91505

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

K C Medical Group Inc 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 K C Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1336467620
191 S BUENA VISTA ST STE 375
Burbank, CA 91505
(818) 729-0014
✔ PECOS✔ Accepts MedicareSame address

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 K C Medical Group Inc's NPI number?

The NPI number for K C Medical Group Inc is 1144733247. It was assigned to this organization in the NPPES registry on November 10, 2017.

Where is K C Medical Group Inc located?

K C Medical Group Inc is located at 191 S Buena Vista St Ste 375, Burbank, CA 91505. The listed phone number is (818) 729-0014.

What is K C Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is K C Medical Group Inc enrolled in Medicare?

Yes. K C Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through K C Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to K C Medical Group Inc. 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 K C Medical Group Inc was last updated on November 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.