EBONY KING MD
NPI 1912427501
Family Medicine in Los Angeles, CA
About Ebony King Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONY KING MD (NPI 1912427501) is an individual family medicine provider in Los Angeles, California, licensed in California (A159155) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ebony King Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Ebony King reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fountain Valley, CA 92708
- Reassigned Medicare billing, California enrollment
- 948 clinicians in this Medicare group
San Jacinto, CA 92583
- Reassigned Medicare billing, California enrollment
- 93 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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 Ebony King's NPI number?
The NPI number for Ebony King is 1912427501. It was assigned to this individual provider in the NPPES registry on June 23, 2017.
Where is Ebony King located?
Ebony King practices at 4867 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (866) 455-3867.
What is Ebony King's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ebony King enrolled in Medicare?
Yes. Ebony King is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ebony King's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ebony King reassigns Medicare benefits to 2 organizations: Memorialcare Medical Foundation (Fountain Valley, CA) and Dap Health, Inc. (San Jacinto, CA). Each 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 Ebony King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ebony King was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.
# Ebony King, MD · NPI 1912427501
Family Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 23, 2017.
## Identity
- **NPI:** 1912427501 (Entity type: Individual)
- **Enumerated:** June 23, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A159155 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4867 W SUNSET BLVD, Los Angeles, CA 90027-5969
- **Phone:** (866) 455-3867
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Memorialcare Medical Foundation (NPI 1205167350, Fountain Valley, CA); Dap Health, Inc. (NPI 1598180101, San Jacinto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912427501) · Data from the CMS NPPES public registry.