Individual provider Active NPI

Victoria Kang, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Santa Ana, CA
National Provider Identifier
1144665571
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
20A13638 Issued in CA
Practice address
1900 E 4TH St
Santa Ana, CA 92705-3962
Phone
(714) 967-4613
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Family Medicine) Physician 207QS0010X 20A13638 CA Primary

Addresses

Primary practice location

1900 E 4TH St
Santa Ana, CA 92705-3962

Mailing address

1134 W Wakefield Ave
Anaheim, CA 92802-3319
Phone (909) 319-7146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150409002512 CA Practitioner - Family PracticePractitioner - Sports Medicine 8820314750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Hospital Medical Group IncGroup PAC ID 5799686283, 5 clinicians

Practice addresses (Care Compare)

403 W Adams Blvd
Los Angeles, CA 90007-2664
Phone (213) 742-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A13638CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Hospital Medical Group Inc CurrentSince Mar 1, 2020 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 21, 2017 Accepting new patients
Orthopaedic Hospital Current Accepting new patients

Locations

8501 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 248-7000

10100 Culver Blvd
Culver City, CA 90232
Phone (310) 280-2700

10100 Culver Blvd
Ste E
Culver City, CA 90232
Phone (310) 423-3333

403 W Adams Blvd
Fl Third
Los Angeles, CA 90007

403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

12746 W Jefferson Blvd
Ste 2000
Playa Vista, CA 90094
Phone (424) 315-2220

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vkang771096@direct.uclahealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1144665571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 W WAKEFIELD AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023319",
            "telephone_number": "909-319-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E 4TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053962",
            "telephone_number": "714-967-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "VICTORIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A13638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.