Active NPI
Matthew Kwong
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Oakland, CA
National Provider Identifier
1417318320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- A153027
- Practice address
- 212 9TH St Ste 205
Oakland, CA 94607-4478 - Phone
- (510) 268-1118
- NPI assigned
- Mar 19, 2016
- Last updated
- Jul 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | A153027 | CA | Primary |
Addresses
Primary practice location
212 9TH St Ste 205
Oakland, CA 94607-4478
Mailing address
212 9TH St Ste 205
Oakland, CA 94607-4478
Phone (510) 268-1118
Other practice location 1
212 9th St Ste 205
Oakland, CA 94607-4478
Phone (510) 268-1118
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180802003431 | CA | Practitioner - General Practice | 0345503751 | Practice locations: Berkeley, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asian Network Pacific Home Care, Inc | Past | Accepting new patients |
Interoperability endpoints
- matthew.kwong.1@17632.direct.athenahealth.com
Organizations & group practices 1
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.
-
dba Pacific Home Care
- Home Health Agency
- Oakland, CA
- NPI 1932285335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1417318320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 9TH ST STE 205",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074478",
"telephone_number": "510-268-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 9TH ST STE 205",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074478",
"telephone_number": "510-268-1118"
}
],
"practiceLocations": [
{
"address_1": "212 9th St Ste 205",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946074478",
"country_code": "US",
"telephone_number": "510-268-1118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWONG",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-19",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A153027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.