Individual provider Active NPI

Johnson Kai Yi Kwan, MD

  • Emergency Medicine Physician
  • San Francisco, CA
National Provider Identifier
1447540067
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
126109 Issued in CA
Practice address
1218 24TH Ave
San Francisco, CA 94122-1615
Phone
(415) 570-3780
NPI assigned
Apr 15, 2011
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2758 MN
Emergency Medicine Physician 207P00000X 320631 NY
Emergency Medicine Physician 207P00000X 126109 CA Primary

Addresses

Primary practice location

1218 24TH Ave
San Francisco, CA 94122-1615

Mailing address

1218 24TH Ave
San Francisco, CA 94122-1615
Phone (415) 570-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150716002846 CA Practitioner - Emergency Medicine 1759512007 Reassigns benefits to 4 organizations
I20230322001214 NY Practitioner - Emergency Medicine 1759512007

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

San Francisco, CA 94132
Phone (253) 792-4363

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2758MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2017 Accepting new patients
Franciscan Medical Group CurrentSince Apr 1, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2017 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2017 Accepting new patients
University of California San Francisco Current Accepting new patients
Enumclaw Regional Hospital Association Past Accepting new patients
St Francis Community Hospital Past Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Emergency Medicine Past Accepting new patients
Franciscan Medical Group PastSince Apr 1, 2023 Accepting new patients
Franciscan Health System Past Accepting new patients
Saint Clare Hospital Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Harrison Medical Center Past Accepting new patients
Commonspirit Washington Past Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

450 Stanyan St
Fl 6
San Francisco, CA 94117
Phone (415) 456-9680

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

Interoperability endpoints

  • Direct secure messaging: johnson.kwan.1@20515.direct.athenahealth.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1447540067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 24TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221615",
            "telephone_number": "415-570-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 24TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221615",
            "telephone_number": "415-570-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "JOHNSON",
        "middle_name": "KAI YI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-15",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "2758",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "320631",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "126109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.