Individual provider Active NPI

Keith Kwok, M.D.

  • Diagnostic Radiology Physician
  • Tracy, CA
National Provider Identifier
1104807569
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A96381 Issued in CA
Practice address
1530 North Bessie Avenue
Suite 108
Tracy, CA 95376
Phone
(209) 833-2393
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X A96381 CA
Diagnostic Radiology Physician 2085R0202X A96381 CA Primary

Addresses

Primary practice location

1530 North Bessie Avenue
Suite 108
Tracy, CA 95376

Mailing address

1530 North Bessie Avenue
Suite 108
Tracy, CA 95376
Phone (209) 833-2393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060906000348 CA Practitioner - Diagnostic RadiologyPractitioner - Neurosurgery 1658375670 Reassigns benefits to 8 organizations
I20250502001375 HI Practitioner - Diagnostic Radiology 1658375670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians
Central Valley Imaging Medical Associates IncGroup PAC ID 8628064953, 87 clinicians
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians
Lodi Memorial Hospital Association IncGroup PAC ID 7618880717, 73 clinicians

Practice addresses (Care Compare)

1031 S Fairmont Ave
Lodi, CA 95240-5112
Phone (209) 334-8580

1441 Constitution Blvd
Salinas, CA 93906-3100
Phone (831) 755-4111

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

92 -1097 Koio Dr
M 335
Kapolei, HI 96707-2296
Phone (209) 647-2184

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

  • Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194
  • Adventist Health Lodi Memorial Hospital, Lodi, CA, CCN 050336
  • San Joaquin General Hospital Hospital, French Camp, CA, CCN 050167
  • Sutter Tracy Community Hospital Hospital, Tracy, CA, CCN 050313
  • St Rose Hospital Hospital, Hayward, CA, CCN 050002

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
53.98 of 100Reported as group
Quality
11.8
Promoting interoperability
74
Improvement activities
0
Cost
82.7

Merit-based Incentive Payment System (MIPS)

Final score
71.84 of 100Reported as group
Quality
41.46
Improvement activities
40
Cost
87.23

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Joaquin CurrentSince Feb 22, 2014 Accepting new patients
County of Santa Clara Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
County of Monterey CurrentSince Dec 1, 2021 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
County of Santa Clara CurrentSince Dec 14, 2019 Accepting new patients
Pleasanton Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Apr 16, 2026 Accepting new patients
Pleasanton Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Apr 16, 2026 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
County of San Joaquin CurrentSince Feb 22, 2014 Accepting new patients
Delta Radiology, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
Central Valley Imaging Medical Associates, Inc Diagnostic Radiology CurrentSince Jul 29, 2013 Accepting new patients
Delta Radiology, Inc. Current Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Jun 1, 2025 Accepting new patients
County of Monterey Behavioral Health CurrentSince Dec 1, 2021 Accepting new patients
Central Valley Imaging Medical Associates, Inc Diagnostic Radiology CurrentSince Jul 29, 2013 Accepting new patients
County of Santa Clara CurrentSince Dec 14, 2019 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

1031 S Fairmont Ave
Lodi, CA 95240
Phone (209) 333-7422

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

250 Cherry Ln
Ste 116
Manteca, CA 95337
Phone (209) 647-4684

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

3600 Sisk Rd
Ste 1A
Modesto, CA 95356
Phone (800) 889-4144

4301 N Star Way
Modesto, CA 95356
Phone (915) 521-2290

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

Interoperability endpoints

  • Direct secure messaging: kkwok126175@santaclaravalley.direct-ci.net

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 5

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1104807569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 NORTH BESSIE AVENUE",
            "address_2": "SUITE 108",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-833-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 NORTH BESSIE AVENUE",
            "address_2": "SUITE 108",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-833-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOK",
        "first_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A96381",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A96381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.