KAN-DI-KI LLC
KAN-DI-KI LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1750364345, based in North Hollywood, CA. The organization lists 2 taxonomy classifications, with Portable X-ray and/or Other Portable Diagnostic Imaging Supplier recorded as primary.
Getting there
The practice address on file is 12612 RAYMER ST, North Hollywood, CA 91605. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 205582 | CA | Clinical Medical Laboratory |
| 043518 | CA | Portable X-ray and/or Other Portable… primary |
This provider holds licence 205582 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Portable X-ray Supplier
- PAC ID
- 5991737140
Enrolled in Medicare 9 times, across 9 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| California | O20051026000145 | Part B Supplier - Portable X-ray Supplier |
| Texas | O20141215000138 | Part B Supplier - Clinic/group Practice |
| Hawaii | O20141219000804 | Part B Supplier - Clinic/group Practice |
| District of Columbia | O20150105000845 | Part B Supplier - Clinic/group Practice |
| Illinois | O20150106000920 | Part B Supplier - Clinic/group Practice |
| New York | O20150114001629 | Part B Supplier - Clinic/group Practice |
| Florida | O20150224001133 | Part B Supplier - Clinic/group Practice |
| Georgia | O20150311001368 | Part B Supplier - Clinic/group Practice |
| New Jersey | O20161007000118 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Portable X-ray Supplier. There are 9 separate enrolment records across 9 states (CA, TX, HI, DC, IL, NY, FL, GA, NJ). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Portable X-ray and/or Other Portable Diagnostic Imaging Supplier covers
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. NUCC Health Care Provider Taxonomy, code 335V00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 205582 | CA | |
| 291U00000X | Clinical Medical Laboratory | — | — | |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 043518 | CA | primary |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1750364345 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 28, 2005 |
| Last updated | Aug 19, 2026 |
| Status | Active |
| Practice address |
12612 RAYMER ST North Hollywood, CA 91605 (818) 549-1880 |
| Mailing address |
215 SCHILLING CIR STE 114 Hunt Valley, MD 21031 |
| Other names |
Diagnostic Laboratories Former Legal Name Tridentcare Former Legal Name |
| Other identifiers |
05D0679751
· Other (CA) 05D2230383 · Other (CA) 1750364345 · Medicaid (MN) 2041261 · Medicaid (WA) 2443518 · Medicaid (LA) 414224201 · Medicaid (TX) 500621162 · Medicaid (OR) LAB79751F · Medicaid (CA) XR059811F · Medicaid (CA) ZZZ31268Z · Medicaid (CA) ZZZ59811Z · Medicaid (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 5 | 0 | 3 | 6 | 4 | 3 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 1 | 0 | 6 | 6 | 8 | 3 | 8 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.