Individual provider Active NPI

Kyle Punzalan, MD

  • Internal Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1154908804
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A198921 Issued in CA
Practice address
616 N Garfield Ave
Monterey Park, CA 91754-1141
Phone
(626) 280-1181
NPI assigned
Mar 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A198921 CA Primary

Addresses

Primary practice location

616 N Garfield Ave
Monterey Park, CA 91754-1141

Mailing address

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-3000

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
I20241212000406 CA Practitioner - Internal Medicine 9032645171 Practice locations: Monterey Park, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 N Raymond Ave
Unit 211
Pasadena, CA 91103-4535

201 W Garvey Ave
Suite 102 PMB 619
Monterey Park, CA 91754-1101

616 N Garfield Ave
Suite 300
Monterey Park, CA 91754-1101
Phone (626) 280-1181

Hospital & facility affiliations

  • San Gabriel Valley Medical Center Hospital, San Gabriel, CA, CCN 050132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A198921CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medforce Specialists Medical Group Internal Medicine CurrentSince Nov 15, 2024 Accepting new patients

Locations

55 S Raymond Ave
Ste 105
Alhambra, CA 91801
Phone (626) 289-9004

Organizations & group practices 1

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": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1154908804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357745",
            "telephone_number": "718-616-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N GARFIELD AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541141",
            "telephone_number": "626-280-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNZALAN",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-27",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A198921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.