JANE KAKKIS, MD, INC.
NPI 1902058670
Specialist in Fountain Valley, CA

Active since October 14, 2008
9900 TALBERT AVE, SUITE 103, FOUNTAIN VALLEY, CA 92708(714) 378-5011(714) 378-5051 Get Directions Write a Review

NPPES record last updated: October 14, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jane Kakkis, Md, Inc. NPPES

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

JANE KAKKIS, MD, INC. (NPI 1902058670) is a healthcare organization registered as a specialist in Fountain Valley, California and active in the NPI registry since October 2008. The organization lists Jane Lilian Kakkis, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1902058670
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJANE KAKKIS, MD, INC.
Location Address9900 TALBERT AVE, SUITE 103Fountain Valley, CA 92708-5153
Mailing Address9900 Talbert Ave, Suite 103Fountain Valley, CA 92708-5153 · (714) 378-5011 · Fax (714) 378-5051
Fax(714) 378-5051
Organization SubpartNo
Authorized OfficialJane Lilian KakkisSurgeon · (714) 378-5011
Enumeration DateOctober 14, 2008
✔ NPI 1902058670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A53546
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9900 TALBERT AVE, Fountain Valley, CA 92708

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Jane Kakkis, Md, 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 Jane Kakkis, MD, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

General Surgery
NPI 1598715427
9900 TALBERT AVE SUITE 100
Fountain Valley, CA 92708
(714) 378-5011
✔ PECOS✔ Accepts Medicare0.1 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 Jane Kakkis, MD, Inc.'s NPI number?

The NPI number for Jane Kakkis, MD, Inc. is 1902058670. It was assigned to this organization in the NPPES registry on October 14, 2008.

Where is Jane Kakkis, MD, Inc. located?

Jane Kakkis, MD, Inc. is located at 9900 Talbert Ave Suite 103, Fountain Valley, CA 92708. The listed phone number is (714) 378-5011.

What is Jane Kakkis, MD, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jane Kakkis, MD, Inc. enrolled in Medicare?

Yes. Jane Kakkis, MD, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jane Kakkis, MD, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Jane Kakkis, MD, 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 Jane Kakkis, MD, Inc. was last updated on October 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.