Active NPI
Simrin Kang
- Psychologist
- La Jolla, CA
National Provider Identifier
1316481435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 34177
- Practice address
- 7817 Herschel Ave # 101-102
La Jolla, CA 92037-4454 - Phone
- (858) 281-4151
- NPI assigned
- Dec 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 34177 | CA | Primary |
Addresses
Primary practice location
7817 Herschel Ave # 101-102
La Jolla, CA 92037-4454
Mailing address
1968 S Coast Hwy # 897
Laguna Beach, CA 92651-3681
Phone (415) 579-3287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1316481435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1968 S COAST HWY # 897",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926513681",
"telephone_number": "415-579-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7817 HERSCHEL AVE # 101-102",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374454",
"telephone_number": "858-281-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "SIMRIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-08",
"last_updated": "2025-02-10",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "34177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.