Deno D Kang M D Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A60288 Issued in CA

Legal business name

DENO D KANG M D INC

Practice address

18102 Pioneer Blvd
Suite 204
Artesia, CA 90701-3953

Phone

(562) 402-9801

Fax

(562) 402-9802

NPI assigned

Dec 18, 2013

Organization subpart

No

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

Authorized official

Name

Jin Kang

Title

Office Manager

Phone

(714) 319-8976

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deno D Kang, MD

  • Nephrology Physician
  • Artesia, CA
  • NPI 1265428916

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1093136087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 PIONEER BLVD",
            "address_2": "SUITE 204",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013953",
            "telephone_number": "562-402-9801",
            "fax_number": "562-402-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 PIONEER BLVD",
            "address_2": "SUITE 204",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013953",
            "telephone_number": "562-402-9801",
            "fax_number": "562-402-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENO D KANG M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-319-8976"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A60288",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A60288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A602880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davida Hospice, Inc.
• Susan Tunque De Mata, D.D.S.
• Emily Kashe Deangelis, PT
• Gerimae Navoa Del Rosario, DENTIST
• Janice Joy Peji Dela Cruz, P.T.
• Phoebe Deocampo
• Trupti Desai, DDS
• Viren Nikhil Desai
• Saleena Dhakal
• Kailash R Dhamija I, M.D.

• Nephrology Physician in Artesia, CA
• Providers in Artesia, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.