Active NPI
Hyun K Kang, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5101
- Practice address
- 12828 Harbor Blvd
Suite 320
Garden Grove, CA 92844-5834 - Phone
- (714) 636-3032
- Fax
- (714) 636-3116
- NPI assigned
- Jan 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3633 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E5101 | CA | Primary |
Addresses
Primary practice location
12828 Harbor Blvd
Suite 320
Garden Grove, CA 92844-5834
Mailing address
12828 Harbor Blvd
Suite 320
Garden Grove, CA 92840-5834
Phone (714) 636-3032
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5451 La Palma Ave
Suite 26
La Palma, CA 90623-1730
Phone (714) 735-8588
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 19 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1280 |
| Removal or shaving of skin growth | 1068 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5101 | CA | MD | Foot & Ankle Surgery Podiatrist |
| PO3633 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Foot and Ankle Medical Center | Foot & Ankle Surgery | Current | Accepting new patients |
| Southern California Foot and Ankle Medical Center | Foot & Ankle Surgery | Current | Accepting new patients |
| Vascular Interventional Group, Inc. | Current | Accepting new patients | |
| Michael D. Kotzen, Inc. | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
6601 Rugby Ave
Ste 100
Huntington Park, CA 90255
Phone (323) 749-9770
5451 La Palma Ave
Ste 26
La Palma, CA 90623
Phone (562) 606-4519
520 S Virgil Ave
Ste 105
Los Angeles, CA 90020
Phone (213) 352-1090
18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322
3400 Lomita Blvd
Ste 305
Torrance, CA 90505
Phone (310) 539-5888
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Foot & Ankle Surgery Podiatrist
- La Palma, CA
- NPI 1528462694
-
- Vascular & Interventional Radiology Physician
- Huntington Park, CA
- NPI 1508363714
-
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
- NPI 1134650500
-
- Foot & Ankle Surgery Podiatrist
- Valley Village, CA
- NPI 1013105972
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Los Angeles, CA
- NPI 1205808326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1184046195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12828 HARBOR BLVD",
"address_2": "SUITE 320",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928405834",
"telephone_number": "714-636-3032",
"fax_number": "714-636-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12828 HARBOR BLVD",
"address_2": "SUITE 320",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928445834",
"telephone_number": "714-636-3032",
"fax_number": "714-636-3116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "HYUN",
"middle_name": "K",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-09",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3633",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E5101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.