Individual provider Active NPI

Sandy Kuo, M.D.

  • Dermatology Physician
  • Long Beach, CA
National Provider Identifier
1023438785
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
138192 Issued in CA
Practice address
2921 Palo Verde Ave # 102
Long Beach, CA 90815-1552
Phone
(562) 999-3483
Fax
(562) 262-2215
NPI assigned
Apr 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X A138195 CA
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 138192 CA Primary

Addresses

Primary practice location

2921 Palo Verde Ave # 102
Long Beach, CA 90815-1552

Mailing address

2921 Palo Verde Ave Ste 102
Long Beach, CA 90815-1552

Other practice location 1

3828 Schaufele Ave Ste 300
Long Beach, CA 90808-1793
Phone (562) 418-5251

Other practice location 2

3301 C St
Suite 1300
Sacramento, CA 95816-3300
Phone (916) 734-6371

Other practice location 3

3301 C St
Suite 1300
Sacramento, CA 95816-3300
Phone (916) 734-6371

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190104000653 CA Practitioner - Dermatology 3678819125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Chicago College of Medicine and Surgery, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Dermatology, Inc.Group PAC ID 7618473521, 3 clinicians

Practice addresses (Care Compare)

2921 Palo Verde Ave
Suite 102
Long Beach, CA 90815-1552
Phone (562) 999-3483

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions740
Removal or shaving of skin growth1-10
Skin biopsy187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
138192CAMDDermatology Physician
A138195CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Dermatology, Inc. Dermatology CurrentSince Aug 19, 2025 Accepting new patients
J Robert West, M.D., Inc Dermatology CurrentSince Jan 31, 2023 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

3828 Schaufele Ave
Ste 300
Long Beach, CA 90808
Phone (562) 997-1144

2921 Palo Verde Ave
Ste 102
Long Beach, CA 90815
Phone (562) 999-3483

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1023438785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 PALO VERDE AVE STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 PALO VERDE AVE # 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151552",
            "telephone_number": "562-999-3483",
            "fax_number": "562-262-2215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3828 Schaufele Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908081793",
            "country_code": "US",
            "telephone_number": "562-418-5251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 C St",
            "address_2": "Suite 1300",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958163300",
            "country_code": "US",
            "telephone_number": "916-734-6371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 C St",
            "address_2": "Suite 1300",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958163300",
            "country_code": "US",
            "telephone_number": "916-734-6371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUO",
        "first_name": "SANDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A138195",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "138192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.