Hyungbum Kang

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3684 Issued in HI

Practice address

B Co. 304TH Signal BN.
Box 115
Apo, AP 96257

Phone

(213) 309-8975

NPI assigned

Dec 30, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sweet Manoa LLCGroup PAC ID 9638569544, 2 clinicians

Manoasta IncGroup PAC ID 6103299771, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Manoasta Inc

  • Clinical Social Worker
  • Honolulu, HI
  • NPI 1477277705
  Medicare reassignment Care Compare group NPD Authorized official
• Sweet Manoa LLC

  • Mental Health Counselor
  • Honolulu, HI
  • NPI 1730781394
  Medicare reassignment Care Compare group NPD Authorized official
• Imua Health Group, LLC

  • Psychologist
  • Aiea, HI
  • NPI 1023648995

  Clinical

  Medicare reassignment NPD
• The Wahiawa Center for Community Health

  • Federally Qualified Health Center (FQHC)
  • Wahiawa, HI
  • NPI 1992176283
  Medicare reassignment NPD
• Manoa Canon LLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1720933963
  NPD Authorized official
• Imua Heart

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aiea, HI
  • NPI 1265119416
  NPD (past)

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1447554787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "B CO. 304TH SIGNAL BN.",
            "address_2": "BOX 115",
            "city": "APO",
            "state": "AP",
            "postal_code": "96257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "B CO. 304TH SIGNAL BN.",
            "address_2": "BOX 115",
            "city": "APO",
            "state": "AP",
            "postal_code": "96257",
            "telephone_number": "213-309-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "HYUNGBUM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.