OrganizationActive
Kdpk IV, Inc.
NPI 1740997097 · Assisted Living Facility · San Diego, CA
Kdpk IV, Inc. is a Assisted Living Facility organization in San Diego, CA (NPI 1740997097).
Provider details
- NPI number
- 1740997097
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Flora Kelly, Ceo(858) 583-6431
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3810 Governor Dr
San Diego, CA 92122-2441
Phone: (858) 583-6431
Fax: (858) 587-2802
Street-level locationGet directions
Mailing address
6311 Dennison St
San Diego, CA 92122-2401
Registry dates
- Enumerated
- 2022-11-04
- Last updated
- 2022-11-04
- Certified
- 2022-11-04
Frequently asked questions
- What is Kdpk IV, Inc.'s NPI number?
- Kdpk IV, Inc.'s National Provider Identifier (NPI) is 1740997097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kdpk IV, Inc.?
- Kdpk IV, Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Kdpk IV, Inc. located?
- Kdpk IV, Inc.'s practice location on file with NPPES is 3810 Governor Dr, San Diego, CA 92122-2441.
- What is Kdpk IV, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Kdpk IV, Inc. is (858) 583-6431.
- Who is the authorized official for Kdpk IV, Inc.?
- The authorized official listed on Kdpk IV, Inc.'s NPPES record is Flora Kelly, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kdpk IV, Inc.'s NPI active?
- Yes — Kdpk IV, Inc.'s NPI (1740997097) is active in the NPPES registry as of the last update on 2022-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.