Sandra S. Kwak, M.D., Inc.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A88895 Issued in CA

Legal business name

SANDRA S. KWAK, M.D., INC.

Practice address

520 Superior Ave Ste 310
Newport Beach, CA 92663-3667

Phone

(949) 645-8800

Fax

(949) 645-8844

NPI assigned

Jul 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Soohyun Kwak, M.D.

Title

President

Phone

(949) 645-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23147/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1528298700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28884",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152040",
            "telephone_number": "949-665-8800",
            "fax_number": "949-665-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633667",
            "telephone_number": "949-645-8800",
            "fax_number": "949-645-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA S. KWAK, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "SOOHYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-645-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A88895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1316011364",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reymunda Sandoval
• Sandra Sandoval, LCSW
• Sofia Nathalie Sandoval
• Sandra Artar Bayindir Child and Family Therapy, Inc.
• Sandra Cameron Physical Therapy, Inc
• Brooke Sandvig
• Kasra Sanjari, D.D.S.
• Sanjay M. Vaswani, MD., Inc
• Estrella Celeste Santiago
• Azalie Aislinn Santillan-Ruiz

• Endocrinology, Diabetes & Metabolism Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.