KYKEON PC
NPI 1679443113
Counselor - Mental Health in San Diego, CA
About Kykeon Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYKEON PC (NPI 1679443113) is a healthcare organization registered as a mental health in San Diego, California and active in the NPI registry since November 2025. The organization lists Matthew Milford, Chief Administrative Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Kykeon Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Kykeon PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
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 Kykeon PC's NPI number?
The NPI number for Kykeon PC is 1679443113. It was assigned to this organization in the NPPES registry on November 10, 2025.
Where is Kykeon PC located?
Kykeon PC is located at 727 Sapphire St Unit 305, San Diego, CA 92109. The listed phone number is (720) 853-8874.
What is Kykeon PC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kykeon PC enrolled in Medicare?
Yes. Kykeon PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kykeon PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Kykeon 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 Kykeon PC was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kykeon Pc · NPI 1679443113
Mental Health organization in San Diego, California. Organization record, active in the CMS NPPES registry since November 10, 2025.
## Identity
- **NPI:** 1679443113 (Entity type: Organization)
- **Enumerated:** November 10, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Matthew Milford, CHIEF ADMINISTRATIVE OFFICER
## Practice location
- **Address:** 727 SAPPHIRE ST, UNIT 305, San Diego, CA 92109
- **Phone:** (720) 853-8874
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679443113) · Data from the CMS NPPES public registry.