Mose Kang, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95009615 Issued in CA

Practice address

3737 Martin Luther King Jr Blvd Ste 402
Lynwood, CA 90262-3533

Phone

(310) 639-9363

Fax

(310) 639-9251

NPI assigned

Aug 1, 2018

Sex

Male

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 CA

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Roads Foundation, IncGroup PAC ID 2961722558, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAD

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.

• The Roads Foundation, Inc

  • Clinic/Center
  • Long Beach, CA
  • NPI 1669812392
  Medicare reassignment Care Compare group NPD (past)
• The Roads Foundation, Inc.

  • Community Health Clinic/Center
  • Compton, CA
  • NPI 1508278359
  NPD

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1386122448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD STE 605",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623543",
            "telephone_number": "310-896-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD STE 402",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623533",
            "telephone_number": "310-639-9363",
            "fax_number": "310-639-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "MOSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JWCH Institute, Inc.
• JWCH Institute, Inc.
• Satya N. Kachgal, D.D.S.
• Pranathi Reddy Kallem
• Kamakshi Devarajan MD, Inc
• Alexander Kaplan, MD
• Frangis Karamedin, M.D.
• Piyush Tulsida Karia, D.D.S
• Karol Bowens,M.D., a Medical Corporation
• Clayton D Kazan, MD

• Family Nurse Practitioner in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.