Active NPI
Victoria Kang, D.O.
- Sports Medicine (Family Medicine) Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 20A13638
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A13638 | CA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Hospital Medical Group Inc | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1942300918
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Home Infusion Agency
- Los Angeles, CA
- NPI 1689632374
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.