Dae-Wook Kang, M.D. Professional Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

G79486 Issued in CA

Legal business name

DAE-WOOK KANG, M.D. PROFESSIONAL CORPORATION

Practice address

2000 W. Hedding St.
Suite 10
San Jose, CA 95128-1426

Phone

(408) 280-5500

Fax

(408) 275-8311

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dae-Wook Kang, M.D.NPI 1194741272

Title

Ceo

Phone

(408) 280-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dae-Wook Kang, MD

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1194741272
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1477736650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W HEDDING ST",
            "address_2": "SUITE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281426",
            "telephone_number": "408-280-5500",
            "fax_number": "408-275-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W. HEDDING ST.",
            "address_2": "SUITE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281426",
            "telephone_number": "408-280-5500",
            "fax_number": "408-275-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAE-WOOK KANG, M.D. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "DAE-WOOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-280-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G79486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G794860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anahita Pedman Dadnam
• Christina Dado-Alvarenga, M.S.W.
• Alyssa Michelle Dado
• Dads
• Dads-Evtr
• Gabriela Dae
• Sheryl Dagang, PH.D.
• Ariana Murray Dagdag, MD
• Susmitha Daggubati, MD
• Stacy Lynn Dagle

• Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.