KSK IMAGING CENTER OF IRVINE, KSK BREAST CENTER OF IRVINE
NPI 1275838336
Clinic/Center - Radiology in Irvine, CA
About Ksk Imaging Center Of Irvine, Ksk Breast Center Of Irvine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KSK IMAGING CENTER OF IRVINE, KSK BREAST CENTER OF IRVINE (NPI 1275838336) is a healthcare organization registered as a radiology in Irvine, California and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through April 3, 2028 and lists Kenneth M. Tokita, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ksk Imaging Center Of Irvine, Ksk Breast Center Of Irvine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Ksk Imaging Center Of Irvine, Ksk Breast Center Of Irvine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Laguna Hills, CA 92653
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 05D1104653
Cancer Center Of Irvine · Irvine, CAFrequently 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 Cancer Center Imaging Inc.'s NPI number?
The NPI number for Cancer Center Imaging Inc. is 1275838336. It was assigned to this organization in the NPPES registry on January 21, 2011. The provider is doing business as Ksk Imaging Center Of Irvine, Ksk Breast Center Of Irvine.
Where is Cancer Center Imaging Inc. located?
Cancer Center Imaging Inc. is located at 16100 Sand Canyon Ave Ste 130, Irvine, CA 92618. The listed phone number is (949) 502-3475.
What is Cancer Center Imaging Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.
Is Cancer Center Imaging Inc. enrolled in Medicare?
Yes. Cancer Center Imaging Inc. is registered in the Medicare PECOS enrollment system.
When is Cancer Center Imaging Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Cancer Center Imaging Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Cancer Center Imaging 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cancer Center Imaging Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1104653) is associated with this NPI, valid through April 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Cancer Center Imaging Inc. was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ksk Imaging Center Of Irvine, Ksk Breast Center Of Irvine · NPI 1275838336
Radiology organization in Irvine, California. Organization record, active in the CMS NPPES registry since January 21, 2011.
## Identity
- **NPI:** 1275838336 (Entity type: Organization)
- **Enumerated:** January 21, 2011
- **Primary specialty:** Clinic/Center - Radiology · taxonomy 261QR0200X
- **Legal business name:** Cancer Center Imaging Inc.
- **Organization subpart:** No
- **Authorized official:** Kenneth Tokita, MEDICAL DIRECTOR
## Practice location
- **Address:** 16100 SAND CANYON AVE STE 130, Irvine, CA 92618-3722
- **Phone:** (949) 502-3475 · **Fax:** (949) 387-4013
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275838336) · Data from the CMS NPPES public registry.