NPIMap

Individual provider Active NPI

Kevin Albert Peng, M.D.

  • Otology & Neurotology Physician
  • Los Angeles, CA
National Provider Identifier
1245556653
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
A120366 Issued in CA
Practice address
1245 Wilshire Blvd
South Tower Ste 480
Los Angeles, CA 90017-4810
Phone
(213) 483-9930
Fax
(562) 967-2363
NPI assigned
Apr 9, 2010
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X A120366 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd
South Tower Ste 480
Los Angeles, CA 90017-4810

Mailing address

1245 Wilshire Blvd
South Tower Ste 480
Los Angeles, CA 90017-4810
Phone (213) 483-9930

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
I20170823003561 CA Practitioner - OtolaryngologyPractitioner - Other (Physician) 2466724588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of California, San Diego School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

1245 Wilshire Blvd
Los Angeles, CA 90017-4810
Phone (213) 482-2770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120366CAMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Dec 1, 2022 Accepting new patients
Pih Health Physicians CurrentSince Dec 1, 2022 Accepting new patients
Pih Health Physicians Current Accepting new patients
House Ear Clinic Inc Current Accepting new patients
House Ear Clinic Inc CurrentSince Jul 23, 2019 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
House Institute Neurosurgery Clinic PC PastSince Aug 15, 2021 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

1400 S Harbor Blvd
La Habra, CA 90631
Phone (714) 879-3400

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1245 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 202-2800

1245 Wilshire Blvd
Ste 480
Los Angeles, CA 90017

1245 Wilshire Blvd
Ste 603
Los Angeles, CA 90017
Phone (213) 977-1215

1245 Wilshire Blvd
Ste 812
Los Angeles, CA 90017
Phone (213) 369-4583

2100 W 3rd St
Fl 1
Los Angeles, CA 90057
Phone (213) 353-7067

2100 W 3rd St
Ste 111
Los Angeles, CA 90057
Phone (213) 353-7052

431 S Batavia St
Ste 200
Orange, CA 92868
Phone (714) 516-9570

39000 Bob Hope Dr
Ste 301
Rancho Mirage, CA 92270
Phone (760) 340-4566

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kevinpeng@pihh.allscriptsdirect.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1245556653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SOUTH TOWER STE 480",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-483-9930",
            "fax_number": "562-967-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SOUTH TOWER STE 480",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-483-9930",
            "fax_number": "562-967-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "KEVIN",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-09",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "A120366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.