Active NPI
Kim NG, M.D.
- Hematology & Oncology Physician
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A33989
- Practice address
- 12370 Hesperia Rd Ste 17
Victorville, CA 92395-5808 - Phone
- (760) 388-0071
- Fax
- (760) 513-9832
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A33989 | CA | |
| Medical Oncology Physician | 207RX0202X | MD60377608 | WA | |
| Hematology & Oncology Physician | 207RH0003X | A33989 | CA | Primary |
Addresses
Primary practice location
12370 Hesperia Rd Ste 17
Victorville, CA 92395-5808
Mailing address
18000 Studebaker Rd Ste 800
Cerritos, CA 90703-2671
Phone (562) 735-3226
Other practice location 1
6501 Truxtun Ave
Bakersfield, CA 93309-0633
Phone (661) 322-2206
Other practice location 2
7360 W Deschutes Ave
Kennewick, WA 99336-7774
Phone (509) 473-0637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A33989 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A33989 | CA | MD | Specialist |
| MD60377608 | WA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ravi Patel M.D. Inc | Specialist | Current | Accepting new patients |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Past | Accepting new patients | |
| MD Med Inc | Past | Accepting new patients | |
| Casa Grande Community Hospital | Past | Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| Providence Health & Services - Wa | Past | Accepting new patients |
Locations
6501 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 322-2206
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Kern Medical Center
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1376623538
-
dba Comprehensive Blood & Cancer Center
- Specialist
- Bakersfield, CA
- NPI 1912978834
-
dba Bakersfield Memorial Hospital Pharmacy
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
dba Casa Grande Regional Medical Center
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1437107208
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
dba Sierra Vista Cancer Center
- Multi-Specialty Clinic/Center
- Sierra Vista, AZ
- NPI 1700964038
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- Clinical Medical Laboratory
- Spokane, WA
- NPI 1831334598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1003803685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 STUDEBAKER RD STE 800",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032671",
"telephone_number": "562-735-3226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12370 HESPERIA RD STE 17",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955808",
"telephone_number": "760-388-0071",
"fax_number": "760-513-9832"
}
],
"practiceLocations": [
{
"address_1": "6501 Truxtun Ave",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933090633",
"country_code": "US",
"telephone_number": "661-322-2206",
"fax_number": "661-327-7027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7360 W Deschutes Ave",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993367774",
"country_code": "US",
"telephone_number": "509-473-0637",
"fax_number": "509-783-8244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NG",
"first_name": "KIM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A33989",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WA",
"license": "MD60377608",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A33989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A33989",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.