Individual provider Active NPI

Randall Sang Hyuk Kahng, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Murrieta, CA
National Provider Identifier
1336186907
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
C52612 Issued in CA
Practice address
33620 Mapleton Ave Apt 1712
Murrieta, CA 92563-4478
Phone
(951) 746-9584
NPI assigned
Jun 1, 2006
Last updated
Mar 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X C52612 CA Primary

Addresses

Primary practice location

33620 Mapleton Ave Apt 1712
Murrieta, CA 92563-4478

Mailing address

33620 Mapleton Ave Apt 1712
Murrieta, CA 92563-4478

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
I20070608000253 CA Practitioner - Emergency Medicine 6800781659 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2601 E Chapman Ave
Orange, CA 92869-3206
Phone (714) 633-0011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52612CAMDPharmacist
C52612CAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Corona Regional Emergency Medical Associates Inc CurrentSince Mar 1, 2018 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Stat Care PC Emergency Medical Services Past Accepting new patients
Tacoma Emergency Medicine Associates PC Past Accepting new patients
Northwest Emergency Physicians LLC Past Accepting new patients
Statcare PC Past Accepting new patients
Hemet Emergency Med Group @ Menifee Hospital Past Accepting new patients
Hemet Emergency Medical Group Past Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

27300 Iris Ave
Moreno Valley, CA 92555
Phone (909) 243-0811

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

28400 McCall Blvd
Sun City, CA 92585
Phone (909) 679-8888

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 10

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 2

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1336186907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33620 MAPLETON AVE APT 1712",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33620 MAPLETON AVE APT 1712",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634478",
            "telephone_number": "951-746-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHNG",
        "first_name": "RANDALL",
        "middle_name": "SANG HYUK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "C52612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.