Individual provider Active NPI

Seong Kang, M.D.

  • Family Medicine Physician
  • Ventura, CA
National Provider Identifier
1184885857
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A104123 Issued in CA
Practice address
3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone
(805) 677-5299
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A104123 CA Primary

Addresses

Primary practice location

3291 Loma Vista Rd
Ventura, CA 93003-3099

Mailing address

3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone (805) 677-5299

Other practice location 1

825 N 10th St
Santa Paula, CA 93060-1309
Phone (805) 525-0215

Other practice location 2

125 W Thousand Oaks Blvd
Thousand Oaks, CA 91360-4402
Phone (805) 418-9100

Other practice location 3

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 648-9830

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address seong.kang@ventura.cernerdirect.com Direct

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
I20100810000953 CA Practitioner - Family Practice 1052445210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

2921 Saviers Rd
Oxnard, CA 93033-5314
Phone (805) 487-5588

300 Hillmont Ave
Ventura, CA 93003-1651

Hospital & facility affiliations

  • Ventura County Medical Center Hospital, Ventura, CA, CCN 050159
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104123CAMDGeneral Practice Dentistry
A104123CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Oct 1, 2023 Accepting new patients
Community Memorial Health System CurrentSince Oct 1, 2023 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince May 12, 2010 Accepting new patients
Community Memorial Health System Current Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura Past Accepting new patients
Lawrence W. Chespak, M.D., a Prof Corp Past Accepting new patients

Locations

3801 Las Posas Rd
Ste 214
Camarillo, CA 93010
Phone (805) 437-0900

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

325 W Channel Islands Blvd
Oxnard, CA 93033
Phone (805) 204-9500

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

2240 E Gonzales Rd
Ste 110
Oxnard, CA 93036
Phone (805) 961-5161

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

1227 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 582-4000

125 W Thousand Oaks Blvd
Ste 300
Thousand Oaks, CA 91360
Phone (805) 418-9100

125 W Thousand Oaks Blvd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-9100

133 W Santa Clara St
Ventura, CA 93001
Phone (805) 641-5600

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

800 S Victoria Ave
#L4640
Ventura, CA 93009

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

300 Hillmont Ave
Bldg 340
Ventura, CA 93003
Phone (805) 652-6100

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

Interoperability endpoints

  • Direct secure messaging: seongkang@cfh.allscriptsdirect.net
  • Direct secure messaging: skang3518217@oc.providencedirect.org

Organizations & group practices 8

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 12

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1184885857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033099",
            "telephone_number": "805-677-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033099",
            "telephone_number": "805-677-5299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Santa Paula",
            "state": "CA",
            "postal_code": "930601309",
            "country_code": "US",
            "telephone_number": "805-525-0215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 W Thousand Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913604402",
            "country_code": "US",
            "telephone_number": "805-418-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Hillmont Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031651",
            "country_code": "US",
            "telephone_number": "805-648-9830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "SEONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A104123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seong.kang@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "825 N 10th St",
            "city": "Santa Paula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930601309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.