Individual provider Active NPI

Juewon William Khwarg, MD

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1356769665
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A140183 Issued in CA
Practice address
2221 Lincoln Park Ave
Los Angeles, CA 90031-2920
Phone
(872) 231-3162
Fax
(702) 977-1496
NPI assigned
Apr 3, 2014
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A140183 CA Primary

Addresses

Primary practice location

2221 Lincoln Park Ave
Los Angeles, CA 90031-2920

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Other practice location 1

8A Ewing PL
Essex Junction, VT 05452-2821
Phone (872) 231-3162

Other practice location 2

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (872) 231-3162

Other practice location 3

515 E Main St Ste 100
Columbus, OH 43215-5304
Phone (872) 231-3162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH, ID, VT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200114001696 CA Practitioner - Physical Medicine and Rehabilitation 6709002801 Reassigns benefits to 1 organization
I20230921004095 OH Practitioner - Physical Medicine and Rehabilitation 6709002801 Reassigns benefits to 1 organization
I20231128003176 ID Practitioner - Physical Medicine and Rehabilitation 6709002801 Reassigns benefits to 1 organization
I20250103002970 VT Practitioner - Physical Medicine and Rehabilitation 6709002801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Rehab Consultants California IncGroup PAC ID 0547499865, 39 clinicians
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

1224 Rossmoor Pkwy
Walnut Creek, CA 94595-2501
Phone (925) 937-7450

1974 N Fairfield Rd
Dayton, OH 45432
Phone (937) 429-1106

2200 N Ironwood PL
Coeur D Alene, ID 83814-2610
Phone (312) 635-0973

6300 Wilshire Blvd
Suite 950
Los Angeles, CA 90048-5210
Phone (312) 635-0973

70077 Ramon Rd
Rancho Mirage, CA 92270-5201
Phone (760) 895-6600

7716 W Manchester Ave
Playa del Rey Care and Rehabilitation
Playa del Ray, CA 90293-8408
Phone (310) 823-4694

8 A Ewing PL
Essex Junction, VT 05452-2821
Phone (312) 635-0973

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A140183CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants California Inc Physical Medicine & Rehabilitation CurrentSince Nov 25, 2019 Accepting new patients

Locations

1130 W La Palma Ave
Anaheim, CA 92801
Phone (714) 772-7480

1609 Trousdale Dr
Burlingame, CA 94010
Phone (530) 400-3060

7160 Fay Ave
La Jolla, CA 92037
Phone (858) 459-4361

2221 Lincoln Park Ave
Los Angeles, CA 90031
Phone (323) 276-5700

6300 Wilshire Blvd
Ste 950
Los Angeles, CA 90048
Phone (323) 866-2555

1501 Skyline Dr
Monterey, CA 93940
Phone (831) 200-9651

5225 S J St
Oxnard, CA 93033
Phone (805) 488-3696

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

7716 W Manchester Ave
Playa del Rey, CA 90293
Phone (310) 823-4694

1155 E Springfield Ave
Reedley, CA 93654
Phone (559) 638-9225

1161 Cirby Way
Roseville, CA 95661
Phone (916) 782-1238

234 N San Pedro Rd
San Rafael, CA 94903
Phone (415) 479-3450

8647 Fenwick St
Sunland, CA 91040
Phone (818) 352-1421

1150 Tilton Dr
Sunnyvale, CA 94087
Phone (408) 735-2700

275 Garnet Way
Upland, CA 91786
Phone (909) 449-4887

6600 Sepulveda Blvd
Van Nuys, CA 91411
Phone (818) 786-0020

4444 W Meadow Ave
Visalia, CA 93277
Phone (559) 251-8463

1224 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 937-7450

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1356769665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 LINCOLN PARK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312920",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8A EWING PL",
            "address_purpose": "LOCATION",
            "city": "Essex Junction",
            "state": "VT",
            "postal_code": "054522821",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 N Curtis Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061309",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 E Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155304",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHWARG",
        "first_name": "JUEWON",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A140183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.