Individual provider Active NPI

Kevin Jon Ing, MD

  • Psychiatry Physician
  • Ladera Ranch, CA
National Provider Identifier
1437635950
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A164742 Issued in CA
Practice address
333 Corporate Dr Ste 260
Ladera Ranch, CA 92694-2180
Phone
(949) 768-2988
NPI assigned
Jul 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A164742 CA Primary

Addresses

Primary practice location

333 Corporate Dr Ste 260
Ladera Ranch, CA 92694-2180

Mailing address

12463 Rancho Bernardo Rd Unit 126
San Diego, CA 92128-2143
Phone (619) 320-5507

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
I20240404003593 CA Practitioner - Psychiatry 3274913991 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loma Linda University School of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12021 Wilmington Ave
Los Angeles, CA 90059-3019
Phone (760) 853-4888

1501 Hughes Way
Suite 150
Long Beach, CA 90810-1878

1774 Zonal Ave
BLDG C
Los Angeles, CA 90033-1064
Phone (310) 221-6378

7755 Leeds St
Downey, CA 90242-3489
Phone (562) 719-2867

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164742CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Star Behavioral Health, Inc. CurrentSince Jan 6, 2024 Accepting new patients
Valley Star Behavioral Health, Inc. CurrentSince Dec 11, 2023 Accepting new patients
Valley Star Behavioral Health, Inc. Current Accepting new patients
Star View Behavioral Health, Inc. CurrentSince Sep 12, 2024 Accepting new patients
Valley Star Behavioral Health, Inc. CurrentSince Dec 11, 2023 Accepting new patients
Star View Behavioral Health, Inc. CurrentSince Sep 12, 2024 Accepting new patients
Central Star Behavioral Health, Inc. Current Accepting new patients
Central Star Behavioral Health, Inc. CurrentSince Jan 6, 2024 Accepting new patients
Kevin Kinback Psychiatry Past Accepting new patients

Locations

7755 Leeds St
Downey, CA 90242
Phone (562) 719-2866

1774 Zonal Ave
Bldg B
Los Angeles, CA 90033
Phone (310) 221-6377

1774 Zonal Ave
Bldg C
Los Angeles, CA 90033
Phone (310) 221-6377

12021 Wilmington Ave
Los Angeles, CA 90059
Phone (310) 668-4515

1585 S D St
Ste 101
San Bernardino, CA 92408
Phone (909) 388-2221

14139 Bucher Ave
Sylmar, CA 91342
Phone (818) 290-5308

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1437635950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12463 RANCHO BERNARDO RD UNIT 126",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282143",
            "telephone_number": "619-320-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CORPORATE DR STE 260",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942180",
            "telephone_number": "949-768-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ING",
        "first_name": "KEVIN",
        "middle_name": "JON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A164742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

Verify at the official NPI Registry.