Individual provider Active NPI

Kyung Hee Kang, FNP

  • Family Nurse Practitioner
  • Redding, CA
National Provider Identifier
1205683380
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028832 Issued in CA
Practice address
2147 Court St
Redding, CA 96001-2531
Phone
(530) 243-8667
Fax
(530) 243-8742
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95028832 CA Primary

Addresses

Primary practice location

2147 Court St
Redding, CA 96001-2531

Mailing address

PO Box 994190
Redding, CA 96099-4190
Phone (530) 243-8667

Other practice location 1

1825 Sonoma St
Redding, CA 96001-2519
Phone (530) 243-8669

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240519000047 CA Practitioner - Nurse Practitioner 5799126959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Docs Medical Group IncGroup PAC ID 9931112075, 12 clinicians

Practice addresses (Care Compare)

2145 Court St
Redding, CA 96001-2531
Phone (530) 247-1425

2147 Court St
Redding, CA 96001-2531
Phone (530) 243-8667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95028832CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Promila Dhanuka, M.D., Inc. PastSince Dec 14, 2025 Accepting new patients

Locations

2145 Court St
Redding, CA 96001
Phone (530) 243-7030

1825 Sonoma St
Redding, CA 96001
Phone (530) 243-8667

2147 Court St
Redding, CA 96001
Phone (530) 243-8667

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEIJCD/Endpoint/FEIJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFDAA

Organizations & group practices 2

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1205683380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994190",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960994190",
            "telephone_number": "530-243-8667",
            "fax_number": "530-243-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012531",
            "telephone_number": "530-243-8667",
            "fax_number": "530-243-8742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Sonoma St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012519",
            "country_code": "US",
            "telephone_number": "530-243-8669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "KYUNG HEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.