Kush Medical Group

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A45536 Issued in CA

Legal business name

KUSH MEDICAL GROUP

Practice address

14015 Van Ness Ave # 10
Gardena, CA 90249-2937

Phone

(310) 327-7682

Fax

(310) 327-7765

NPI assigned

Mar 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kiansi Boni, MDNPI 1760514343

Title

Owner

Phone

(310) 644-3488

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiansi Boni, MD

  • Pain Medicine (Anesthesiology) Physician
  • Oxnard, CA
  • NPI 1760514343
  NPD (past) Authorized official

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104958784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6299",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905040299",
            "telephone_number": "310-327-7682",
            "fax_number": "310-327-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015 VAN NESS AVE # 10",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492937",
            "telephone_number": "310-327-7682",
            "fax_number": "310-327-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BONI",
        "authorized_official_first_name": "KIANSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-644-3488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A45536",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45536",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A45536",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A45536",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A455361",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kris Medical Inc
• Amber Kroll
• KSK Nursing Corporation
• Monika Kulikowski
• Takashi Kumamoto, DDS
• Jonathan Ohyun Kwon, PHARM D.
• Nhan Ky
• Patrick Kyun
• Nathan Oliver L'Esperance, DDS
• La Casa

• Pain Medicine (Anesthesiology) Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.