KSP HEALTH - CALIFORNIA LLC – Pediatrics Physician, NPI 1093596033

KSP HEALTH - CALIFORNIA LLC is a healthcare provider. based in Wichita, Kansas. specializing in Pediatrics Physician. The NPI Number for KSP HEALTH - CALIFORNIA LLC is 1093596033

Main info

Organization
Name
KSP HEALTH - CALIFORNIA LLC
NPI
1093596033
Phone
(234) 260-6212
Address
6446 E CENTRAL AVE STE 183
Authorized Official
MUTHUKUMAR VELLAICHAMY OWNER MD
Enumeration Date
6 October 2023
Last Update Date
6 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness80
Years active:2State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for KSP HEALTH - CALIFORNIA LLC

  • 6446 E CENTRAL AVE STE 183

    WICHITA, KS 672061923

    Phone: (234) 260-6212

    Type: Mailing

  • 1401 21ST ST STE R

    SACRAMENTO, CA 958115226

    Phone: (234) 260-6212

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67206)

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Reviews

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Frequently asked questions

Is there an official ID for KSP HEALTH - CALIFORNIA LLC in U.S. healthcare records?
The official identifier for KSP HEALTH - CALIFORNIA LLC is NPI 1093596033.
Is KSP HEALTH - CALIFORNIA LLC still an active registrant?
KSP HEALTH - CALIFORNIA LLC carries an active NPI according to the public dataset.
What clinical focus is listed for KSP HEALTH - CALIFORNIA LLC?
At a glance, KSP HEALTH - CALIFORNIA LLC is tied to Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KSP HEALTH - CALIFORNIA LLC?
Travel planning: use Wichita, Kansas as the reference point for KSP HEALTH - CALIFORNIA LLC, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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