NPIMap

Individual provider Active NPI

Jerry Ginkay Kwong, MD

  • Clinical Cardiac Electrophysiology Physician
  • Los Angeles, CA
National Provider Identifier
1033538004
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
143237 Issued in CA
Practice address
1245 Wilshire Blvd Ste 580
Los Angeles, CA 90017-5854
Phone
(213) 977-0419
Fax
(213) 977-0225
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036142977 IL
Clinical Cardiac Electrophysiology Physician 207RC0001X 036.142977 IL
Clinical Cardiac Electrophysiology Physician 207RC0001X 143237 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd Ste 580
Los Angeles, CA 90017-5854

Mailing address

1245 Wilshire Blvd Ste 703
Los Angeles, CA 90017-4807
Phone (213) 977-0419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221206002350 CA Practitioner - Cardiac Electrophysiology 8022375013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

1245 Wilshire Blvd
Suite 703And711
Los Angeles, CA 90017-4810
Phone (213) 977-0419

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036142977ILMDCardiovascular Disease Physician
143237CAMDClinical Cardiac Electrophysiology Physician
036.142977ILMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Oct 1, 2022 Accepting new patients
Pih Health Physicians Current Accepting new patients
Comprehensive Cardiovascular Specialists, a Medical Corporation CurrentSince Sep 1, 2023 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Pih Health Physicians CurrentSince Oct 1, 2022 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

220 S 1st St
Alhambra, CA 91801
Phone (626) 281-8663

11480 Brookshire Ave
Ste 204
Downey, CA 90241
Phone (562) 862-2775

1850 S Azusa Ave
Ste 88
Hacienda Heights, CA 91745
Phone (626) 964-3040

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1245 Wilshire Blvd
Ste 703
Los Angeles, CA 90017
Phone (213) 977-0419

1245 Wilshire Blvd
Ste 703711
Los Angeles, CA 90017
Phone (213) 977-0419

1245 Wilshire Blvd
Ste 580
Los Angeles, CA 90017
Phone (213) 977-0419

2201 W Beverly Blvd
Montebello, CA 90640
Phone (323) 728-0321

6557 Greenleaf Ave
Whittier, CA 90601
Phone (562) 789-5401

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jerrykwong@pihh.allscriptsdirect.net
  • Direct secure messaging: jkwong87632@direct.luhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEDGBA/Endpoint/BEDGBA

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1033538004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 703",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174807",
            "telephone_number": "213-977-0419",
            "fax_number": "213-977-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 580",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175854",
            "telephone_number": "213-977-0419",
            "fax_number": "213-977-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWONG",
        "first_name": "JERRY",
        "middle_name": "GINKAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036142977",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036.142977",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "143237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.