Bumin Kong

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A178290 Issued in CA

Practice address

558 Saint Charles Dr Ste 200
Thousand Oaks, CA 91360-3968

Phone

(805) 379-2322

NPI assigned

Mar 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Pain Management

Education

University of California, Irvine, California College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Charles Spine InstituteGroup PAC ID 5496036550, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Neighbor Care Home Health Home health agency, Westlake Village, CA, CCN 059450
• Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

Merit-based Incentive Payment System (MIPS)

Final score

88.87 of 100Reported as group

Quality

72.13

Promoting interoperability

80

Improvement activities

40

Cost

77.36

Merit-based Incentive Payment System (MIPS)

Final score

79.38 of 100Reported as group

Quality

84.62

Improvement activities

40

Cost

51.77

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• St. Charles Spine Institute

  • Physical Medicine & Rehabilitation Physician
  • Thousand Oaks, CA
  • NPI 1780377283
  Medicare reassignment Care Compare group NPD
• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Apple Valley, CA
  • NPI 1205009917
  Medicare reassignment NPD
• Faculty Physicians and Surgeons of Llusm

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Loma Linda, CA
  • NPI 1306372073
  NPD
• Faculty Physicians and Surgeons of Llusm

  • Family Medicine Physician
  • Moreno Valley, CA
  • NPI 1558788331
  NPD
• St Charles Spine Institute

  • Orthopaedic Surgery of the Spine Physician
  • Thousand Oaks, CA
  • NPI 1912369893
  NPD (past)

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

• Los Robles Regional Medical Center

  dba Los Robles Hospital & Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1306890389
  Care Compare affiliation
• Rosales Inc

  dba Neighbor Care Home Health

  • Home Health Agency
  • Thousand Oaks, CA
  • NPI 1790013894
  Care Compare affiliation

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1497382220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NEWBURY RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913206434",
            "telephone_number": "805-379-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 SAINT CHARLES DR STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603968",
            "telephone_number": "805-379-2322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Newbury Rd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913206434",
            "country_code": "US",
            "telephone_number": "805-379-2322 x119",
            "fax_number": "805-379-6786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONG",
        "first_name": "BUMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A178290",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A178290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Koger
• Farideh Kohanghadosh, D.D.S.
• Kohanzadeh Dental Corp (Smiles 4 Life)
• Kolar N. Murthy, M.D., Inc.
• Jacob Komberg
• Emily Joy Koops, MOTR/L
• Roberta Gail Kopacz, M.A.
• Edwin Korouri, MD
• Leon Sheldon Kosdon, D.D.S.
• Cody Kotelko, DO

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.