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KINGS MEDICAL GROUP PC
NPI 1972919116
Internal Medicine in Hanford, CA

Active since July 09, 2014CLIA 05D2123479 · Waiver
808 VAUGHN ST, HANFORD, CA 93230(559) 410-8404 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kings Medical Group Pc NPPES

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

KINGS MEDICAL GROUP PC (NPI 1972919116) is a healthcare organization registered as an internal medicine in Hanford, California and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists John R Gavini, President, as its authorized official.

NPPES Registry Identity

NPI1972919116
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKINGS MEDICAL GROUP PC
Location Address808 VAUGHN STHanford, CA 93230
Mailing Address240 N 12th Ave, Suite 109 #303Hanford, CA 93230-5995 · (559) 410-8404
Phone(559) 410-8404
Organization SubpartNo
Authorized OfficialJohn R GaviniPresident · (559) 410-8404
Enumeration DateJuly 9, 2014
Last NPPES UpdateDecember 5, 2016
✔ NPI 1972919116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A77882
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
808 VAUGHN ST, Hanford, CA 93230
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Other Identifiers 1

Medicare PINCA134898

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)

Kings Medical Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kings Medical Group PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Asela Wickremasinghe, M.D.
Internal Medicine
NPI 1164476081
808 VAUGHN ST
Hanford, CA 93230
(559) 410-8404
✔ PECOS✔ Accepts MedicareSame address
Sudesh Nagavalli, MD
Internal Medicine
NPI 1780629691
1524 W LACEY BLVD SUITE 103
Hanford, CA 93230
(559) 583-4503
✔ PECOS✔ Accepts Medicare0.7 mi
John Gavini, M.D.
Internal Medicine
NPI 1750328803
1524 W. LACEY BLVD SUITE 103
Hanford, CA 93230
(559) 583-4503
✔ PECOS9.5 mi

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 05D2123479

Kings Medical Group PC · Hanford, CA
Active · expires Dec 20, 2026
CLIA Number05D2123479
Laboratory TypePhysician Office
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorJohn R. Gavini, MD
Laboratory Phone(559) 410-8404
Laboratory LocationKings Medical Group PC808 Vaughn St, Hanford, CA 93230
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kings Medical Group PC's NPI number?

The NPI number for Kings Medical Group PC is 1972919116. It was assigned to this organization in the NPPES registry on July 9, 2014.

Where is Kings Medical Group PC located?

Kings Medical Group PC is located at 808 Vaughn St, Hanford, CA 93230. The listed phone number is (559) 410-8404.

What is Kings Medical Group PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kings Medical Group PC enrolled in Medicare?

Yes. Kings Medical Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kings Medical Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to Kings Medical Group 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kings Medical Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2123479) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kings Medical Group PC was last updated on December 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.