Individual provider Active NPI

Kevin Juncong Zhang, MD

  • Pediatrics Physician
  • West Covina, CA
National Provider Identifier
1386140333
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A174220 Issued in CA
Practice address
1535 W Merced Ave Ste 306
West Covina, CA 91790-3404
Phone
(626) 960-2977
Fax
(626) 960-2979
NPI assigned
Mar 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A174220 CA Primary

Addresses

Primary practice location

1535 W Merced Ave Ste 306
West Covina, CA 91790-3404

Mailing address

1535 W Merced Ave Ste 306
West Covina, CA 91790-3404
Phone (626) 960-2977

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
I20210831003396 CA Practitioner - Pediatric Medicine 2860741022 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174220CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Valley Physician Partners CurrentSince Sep 1, 2021 Accepting new patients
Emanate Health Medical Group CurrentSince Sep 1, 2021 Accepting new patients
Kevin Zhang Children and Adolescent Clinic Inc. Current Accepting new patients
Emanate Health Medical Group Current Accepting new patients

Locations

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

440 W Foothill Blvd
Glendora, CA 91741
Phone (626) 963-9402

1135 S Sunset Ave
Ste 401
West Covina, CA 91790
Phone (626) 732-8390

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

1135 S Sunset Ave
West Covina, CA 91790
Phone (626) 813-3716

1535 W Merced Ave
Ste 306
West Covina, CA 91790
Phone (626) 960-2977

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1386140333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE STE 306",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-960-2977",
            "fax_number": "626-960-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE STE 306",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-960-2977",
            "fax_number": "626-960-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "KEVIN",
        "middle_name": "JUNCONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A174220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.