Individual provider Active NPI

Alexander Evan Kang, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1164447249
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A95914 Issued in NY
Practice address
1225 Wilshire Blvd.
Los Angeles, CA 90017
Phone
(213) 977-2121
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A95914 NY Primary

Addresses

Primary practice location

1225 Wilshire Blvd.
Los Angeles, CA 90017

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243

Other identifiers 1

IdentifierTypeStateIssuer
00A959140MedicaidCA

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
I20060823000249 CA Practitioner - Anesthesiology 6901809474 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95914NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Anesthesia Group Inc CurrentSince Nov 1, 2021 Accepting new patients
Westside Anesthesia Services Anesthesiology CurrentSince Feb 1, 2012 Accepting new patients
Samaritan Anesthesiology Medical Group Anesthesiology PastSince Sep 23, 2024 Accepting new patients
Soma Anesthesia Medical Group Inc Past Accepting new patients

Locations

120 S Spalding Dr
Ste 205
Beverly Hills, CA 90212
Phone (310) 273-8002

8929 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 854-0283

150 N Robertson Blvd
Ste 110
Beverly Hills, CA 90211
Phone (310) 424-9507

120 S Spalding Dr
Ste 200
Beverly Hills, CA 90212
Phone (310) 550-7766

8670 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 275-1646

120 S Spalding Dr
Ste 115
Beverly Hills, CA 90212
Phone (310) 385-7755

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

9735 Wilshire Blvd
Ste 100
Beverly Hills, CA 90212
Phone (310) 601-3900

8920 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 360-9119

120 S Spalding Dr
Ste 402
Beverly Hills, CA 90212
Phone (310) 260-1400

16311 Ventura Blvd
Ste 570
Encino, CA 91436
Phone (805) 969-5500

5900 W Olympic Blvd
Los Angeles, CA 90036
Phone (310) 267-2680

8436 W 3rd St
Ste 700
Los Angeles, CA 90048
Phone (310) 274-8228

6000 San Vicente Blvd
Los Angeles, CA 90036
Phone (310) 832-2622

6801 Park Ter
Ste 300
Los Angeles, CA 90045
Phone (310) 655-7200

1200 Rosecrans Ave
Ste 110
Manhattan Beach, CA 90266
Phone (424) 220-4400

400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 546-3461

4551 Glencoe Ave
Ste 145
Marina del Rey, CA 90292
Phone (310) 426-8206

3501 Jamboree Rd
Ste 1200
Newport Beach, CA 92660
Phone (949) 988-7800

1801 W Olympic Blvd
#2100
Pasadena, CA 91199

16311 Ventura Blvd
Ste 580
Van Nuys, CA 91436
Phone (213) 245-1325

32144 Agoura Rd
Ste 200
Westlake Village, CA 91361
Phone (310) 218-4502

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1164447249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "800-883-7243",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WILSHIRE BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90017",
            "telephone_number": "213-977-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "ALEXANDER",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "A95914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A959140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.