Active NPI
Edwin Kyunghun Kwon, M.D.
- Family Medicine Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A134063
- Practice address
- 363 S Main St Ste 110
Orange, CA 92868-3813 - Phone
- (714) 855-3602
- NPI assigned
- Apr 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A134063 | CA | Primary |
Addresses
Primary practice location
363 S Main St Ste 110
Orange, CA 92868-3813
Mailing address
363 S Main St Ste 110
Orange, CA 92868-3813
Phone (714) 855-3602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Irvine, California College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
363 S Main St
Suite 345
Orange, CA 92868-3858
Phone (714) 835-8715
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A134063 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRM Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Family Medicine | Current | Accepting new patients |
| Share Our Selves Corporation | Current | Accepting new patients | |
| Share Our Selves Corporation | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Share Our Selves Corporation | Current | Accepting new patients | |
| Share Our Selves Corporation | Current | Accepting new patients | |
| Mark W Cheng LLC | Past | Accepting new patients | |
| UCLA Family Medicine Residency Program | Past | Accepting new patients | |
| Providence Medical Foundation | Family Medicine | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
1550 Superior Ave
Costa Mesa, CA 92627
Phone (949) 650-0186
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
363 S Main St
Ste 110
Orange, CA 92868
Phone (714) 855-3602
363 S Main St
Ste 345
Orange, CA 92868
Phone (714) 835-8715
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
11850 SW Allen Blvd
Beaverton, OR 97005
Phone (503) 646-7164
6800 SW 105th Ave
Ste 206
Beaverton, OR 97008
650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588
1675 SW Marlow Ave
Ste 202
Portland, OR 97225
Interoperability endpoints
- edwin.kwon.p33@direct.monarchhealthcare.nextgenshare.com
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Costa Mesa, CA
- NPI 1508073685
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Federally Qualified Health Center (FQHC)
- Newport Beach, CA
- NPI 1033514708
-
- Federally Qualified Health Center (FQHC)
- Costa Mesa, CA
- NPI 1144717778
-
- Federally Qualified Health Center (FQHC)
- Costa Mesa, CA
- NPI 1669258612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767225600000",
"number": "1487097846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 S MAIN ST STE 110",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683813",
"telephone_number": "714-855-3602",
"fax_number": "714-822-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 S MAIN ST STE 110",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683813",
"telephone_number": "714-855-3602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "EDWIN",
"middle_name": "KYUNGHUN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-16",
"last_updated": "2026-01-01",
"certification_date": "2026-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A134063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; 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.