KD MEDICAL GROUPINC. NPI 1457522567

NPI Information

  • NPI: 1457522567
  • Provider Name: KD MEDICAL GROUP,INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PADRES MEDICAL IMAGING,INC.
  • CLIA Number: 05D1032613
  • Address: 311 W I ST
    LOS BANOS, CA
    ZIP 93635
  • Phone: (209) 826-6444

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NPI Details

KD MEDICAL GROUP,INC. is a family medicine in Los Banos, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KD MEDICAL GROUP,INC. NPI is 1457522567. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Padres Medical Imaging,inc..

The provider's business location address is:

311 W I ST
LOS BANOS, CA
ZIP 93635-479
Phone: (209) 826-6444
Fax: (209) 826-6464

The provider's authorized official is Karthikeya Devireddy .
The authorized official title is Medical Director and has the following contact phone number (209) 826-2222.

The CLIA number assigned to this NPI record is 05D1032613 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/17/2008 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineCALIFORNIANo
2208000000XPediatricsA109208CALIFORNIANo
32085R0202XRadiologyDiagnostic RadiologyCALIFORNIANo
4291U00000XClinical Medical LaboratoryNo
5207Q00000XFamily MedicineA119932CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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