Joanna Kong, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA22348 Issued in CA

Practice address

6758 Passons Blvd
Pico Rivera, CA 90660-3666

Phone

(562) 654-6899

Fax

(562) 654-6895

NPI assigned

Oct 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI, UT2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rosenberg Cooley Metcalf LCGroup PAC ID 0042291510, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Park City Hospital Hospital, Park City, UT, CCN 460057
• St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

Merit-based Incentive Payment System (MIPS)

Final score

83.72 of 100Reported as group

Quality

67.55

Promoting interoperability

100

Improvement activities

40

Cost

78.18

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joanna.kong.1@27251.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IJFECD

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.

• Rosenberg Cooley Metcalf LC

  • Orthopaedic Surgery Physician
  • Park City, UT
  • NPI 1649374216

  UT

  Medicare reassignment Care Compare group
• Straub Clinic & Hospital

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1457306508

  HI

  Medicare reassignment NPD
• Rosenberg Cooley Metcalf LC

  • Orthopaedic Surgery Physician
  • Heber City, UT
  • NPI 1518713304
  Care Compare group NPD
• Rosenberg Cooley Metcalf LC

  • Orthopaedic Surgery Physician
  • Salt Lake City, UT
  • NPI 1902652787
  Care Compare group
• Straub Clinic & Hospital

  • Community/Retail Pharmacy
  • Honolulu, HI
  • NPI 1295443216
  NPD

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

• Ihc Health Services Inc

  • General Acute Care Hospital
  • Park City, UT
  • NPI 1851530984

  Hospital

  Care Compare affiliation
• Northern Utah Healthcare Corporation

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1164469243

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1316199656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N KINGS RD APT 224",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900694343",
            "telephone_number": "917-916-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6758 PASSONS BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603666",
            "telephone_number": "562-654-6899",
            "fax_number": "562-654-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "JOANNA",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA22348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Il Kim, PHARM.D.
• Jae Eun Kim, DMD
• Michele L. Kim, DDS
• Gemma Tok Hyon Ko, M.D.
• Nancy M Ko, RPH
• La Cliniquita, Inc.
• Edith Guadalupe Lagos Navarro, MA
• Marissa Lallatin
• Le T Lam, PHARM. D
• Mary Ann Laramee, R.A.S.

• All providers in Pico Rivera, CA
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.