Brian Kang MD Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BRIAN KANG MD INC

Practice address

1400 E Church St
Santa Maria, CA 93454-5906

Phone

(805) 739-3650

NPI assigned

Aug 25, 2022

Last updated

Feb 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Y Kang, MDNPI 1417450263

Title

MD/Owner

Phone

(805) 739-3650

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Kang, MD

  • Physical Medicine & Rehabilitation Physician
  • Winchester, VA
  • NPI 1417450263

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1407575160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913760872",
            "telephone_number": "818-518-7226",
            "fax_number": "818-671-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E CHURCH ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545906",
            "telephone_number": "805-739-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN KANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "805-739-3650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anaisa Sarai Bravo-Guzman
• Jesus Bravo
• Joel Breck, PA, MPH
• Sven Brekke, CATC II
• Brenda Monterde Bcba and Associates Inc (National Behavioral Care)
• Brian M Miyagishima MD Inc
• Ashley Bridges, PA-C
• Jobie Jennifer Brigham
• Nicole Marie Bright
• Samantha Britton

• Physical Medicine & Rehabilitation Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.