Active NPI
Kongyuan He, M.D.
- Anesthesiology Physician
- Woodland Hills, CA
National Provider Identifier
1427072909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A61934
- Practice address
- 5601 De Soto Ave
Dept of Anesthesiology
Woodland Hills, CA 91367-6701 - Phone
- (818) 719-4757
- Fax
- (818) 995-3490
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A61934 | CA | Primary |
Addresses
Primary practice location
5601 De Soto Ave
Dept of Anesthesiology
Woodland Hills, CA 91367-6701
Mailing address
5601 De Soto Ave
Dept of Anesthesiology
Woodland Hills, CA 91367-6701
Phone (818) 719-4757
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A619340 | Medicaid | CA | |
| 00A619341 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427072909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 DE SOTO AVE",
"address_2": "DEPT OF ANESTHESIOLOGY",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676701",
"telephone_number": "818-719-4757",
"fax_number": "818-995-3490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 DE SOTO AVE",
"address_2": "DEPT OF ANESTHESIOLOGY",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676701",
"telephone_number": "818-719-4757",
"fax_number": "818-995-3490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HE",
"first_name": "KONGYUAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A61934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A619340",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A619341",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.