NPIMap

Individual provider Active NPI

Dae-Wook Kang, MD

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1194741272
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G079486 Issued in CA
Practice address
2000 W Hedding St
Suite 10
San Jose, CA 95128-1426
Phone
(408) 280-5500
Fax
(408) 275-8311
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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 G079486 CA Primary

Addresses

Primary practice location

2000 W Hedding St
Suite 10
San Jose, CA 95128-1426

Mailing address

2000 W. Hedding St.
Suite 10
San Jose, CA 95128-1426
Phone (408) 280-5500

Other identifiers 1

IdentifierTypeStateIssuer
00G794860MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080116000418 CA Practitioner - Internal Medicine 7012098049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2000 W Hedding St
Suite 10
San Jose, CA 95128-1475
Phone (408) 280-5500

Hospital & facility affiliations

  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G079486CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dae-Wook Kang, M.D. Professional Corporation CurrentSince Jan 5, 1996 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

2000 W Hedding St
Ste 10
San Jose, CA 95128
Phone (408) 280-5500

2066 Clarmar Way
Ste B
San Jose, CA 95128
Phone (408) 280-5500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dae.wook.kang@5702225887236.direct.elationemr.com

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1194741272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W. HEDDING ST.",
            "address_2": "SUITE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281426",
            "telephone_number": "408-280-5500",
            "fax_number": "408-275-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W HEDDING ST",
            "address_2": "SUITE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281426",
            "telephone_number": "408-280-5500",
            "fax_number": "408-275-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "DAE-WOOK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G079486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G794860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.