Individual provider Active NPI

Wayne Kuang, DO

  • Pediatrics Physician
  • La Mirada, CA
National Provider Identifier
1447909858
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A21639 Issued in CA
Practice address
12675 La Mirada Blvd Ste 401
La Mirada, CA 90638-2236
Phone
(562) 789-5435
NPI assigned
Mar 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20A21639 CA Primary

Addresses

Primary practice location

12675 La Mirada Blvd Ste 401
La Mirada, CA 90638-2236

Mailing address

12675 La Mirada Blvd Ste 401
La Mirada, CA 90638-2236
Phone (562) 789-5435

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
I20250811000583 CA Practitioner - Pediatric Medicine 7416455399 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Jul 15, 2025 Accepting new patients
Pih Health Physicians CurrentSince Jul 15, 2025 Accepting new patients
Pih Health Physicians Current Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1447909858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12675 LA MIRADA BLVD STE 401",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382236",
            "telephone_number": "562-789-5435",
            "fax_number": "562-789-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12675 LA MIRADA BLVD STE 401",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382236",
            "telephone_number": "562-789-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUANG",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A21639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

Verify at the official NPI Registry.