Individual provider Active NPI

Deno D Kang, MD

  • Nephrology Physician
  • Artesia, CA
National Provider Identifier
1265428916
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A60288 Issued in CA
Practice address
18102 Pioneer Blvd
Number 204
Artesia, CA 90701-3953
Phone
(562) 402-9801
Fax
(562) 402-9802
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A60288 CA
Nephrology Physician 207RN0300X A60288 CA Primary

Addresses

Primary practice location

18102 Pioneer Blvd
Number 204
Artesia, CA 90701-3953

Mailing address

18102 Pioneer Blvd
Number 204
Artesia, CA 90701-3953
Phone (562) 402-9801

Other identifiers 1

IdentifierTypeStateIssuer
00A602880MedicaidCA

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
I20040928000285 CA Practitioner - Internal MedicinePractitioner - Nephrology 9133198096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18102 Pioneer Blvd
Suite 204
Artesia, CA 90701-4407

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60288CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deno D Kang M D Inc Internal Medicine CurrentSince Aug 30, 2013 Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients

Locations

18102 Pioneer Blvd
Ste 204
Artesia, CA 90701
Phone (562) 402-9801

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 4

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265428916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 PIONEER BLVD",
            "address_2": "NUMBER 204",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013953",
            "telephone_number": "562-402-9801",
            "fax_number": "562-402-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 PIONEER BLVD",
            "address_2": "NUMBER 204",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013953",
            "telephone_number": "562-402-9801",
            "fax_number": "562-402-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "DENO",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A60288",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A60288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A602880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

Verify at the official NPI Registry.