Individual provider Active NPI

Sena Gong, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1154772325
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C193720 Issued in CA
Practice address
4850 Hollywood Blvd Apt 323
Los Angeles, CA 90027-3268
Phone
(646) 793-1489
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C193720 CA Primary
Emergency Medicine Physician 207P00000X 301407 NY

Addresses

Primary practice location

4850 Hollywood Blvd Apt 323
Los Angeles, CA 90027-3268

Mailing address

4850 Hollywood Blvd Apt 323
Los Angeles, CA 90027-3268
Phone (646) 793-1489

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
I20240613003017 CA Practitioner - Emergency Medicine 3274864533 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone (310) 379-2134

Hospital & facility affiliations

  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C193720CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Em Alliance California, Apc Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Hollywood Presbyterian Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Jul 15, 2024 Accepting new patients

Locations

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

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

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

L4421
Columbus, OH 43260

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1154772325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 HOLLYWOOD BLVD APT 323",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273268",
            "telephone_number": "646-793-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 HOLLYWOOD BLVD APT 323",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273268",
            "telephone_number": "646-793-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "SENA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C193720",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "301407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.