Active NPI
Brandon S Kang, LCSW
- Clinical Social Worker
- Kailua Kona, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4048
- Practice address
- 75-5751 Kuakini Hwy Ste 101a
Kailua Kona, HI 96740-1705 - Phone
- (808) 326-5629
- NPI assigned
- Jul 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4048 | HI | Primary |
Addresses
Primary practice location
75-5751 Kuakini Hwy Ste 101a
Kailua Kona, HI 96740-1705
Mailing address
75-5751 Kuakini Hwy Ste 203
Kailua Kona, HI 96740-1753
Phone (808) 326-5629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 797061 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
75-5751 Kuakini Hwy
Suite 203
Kailua Kona, HI 96740
75-5751 Kuakini Hwy 203
Kailua Kona, HI 96740-1752
81 -980 Halekii St
Kealakekua, HI 96750-8177
95-5583 Mamalahoa Hwy
Naalehu, HI 96772
Phone (808) 333-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Hawaii Community Health Center, Inc. | Current | Accepting new patients | |
| West Hawaii Community Health Center, Inc. | Current | Accepting new patients |
Locations
75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740
75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740
75-5751 Kuakini Hwy
Ste 203
Kailua Kona, HI 96740
Phone (808) 326-3878
Networks
- HI PPO
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Kailua-Kona, HI
- NPI 1952335630
-
- Federally Qualified Health Center (FQHC)
- Pahoa, HI
- NPI 1861376907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1114302866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-5751 KUAKINI HWY STE 203",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401753",
"telephone_number": "808-326-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5751 KUAKINI HWY STE 101A",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401705",
"telephone_number": "808-326-5629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "BRANDON",
"middle_name": "S",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-23",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "4048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "797061",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.