Kane John Cua, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95000650 Issued in CA

Practice address

1148 W 210TH St
Torrance, CA 90502-1626

Phone

(310) 977-9692

NPI assigned

Sep 27, 2014

Last updated

May 5, 2023By the provider in NPPES

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Lung Center Medical Group Inc.Group PAC ID 4082508197, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
• Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Lung Center Medical Group Inc.

  • Pulmonary Disease Physician
  • Inglewood, CA
  • NPI 1164593323
  Medicare reassignment Care Compare group NPD
• Ashok Kumar, M.D., a Medical Corporation

  dba Ace Medical Group

  • Internal Medicine Physician
  • Hawthorne, CA
  • NPI 1013927805
  Medicare reassignment NPD
• Sharwin Tafazoli Inc

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
  • NPI 1447806278

  CA

  Medicare reassignment NPD
• Greater Los Angeles Oncology Medical Corporation

  • Hematology & Oncology Physician
  • Los Angeles, CA
  • NPI 1295746394
  NPD (past)

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

• Prime Healthcare Centinela, LLC

  dba Centinela Hospital Medical Center

  • General Acute Care Hospital
  • Inglewood, CA
  • NPI 1336328244
  Care Compare affiliation
• Southern California Healthcare System, Inc

  dba Southern California Hospital at Hollywood, at Van Nuys, at Culver City

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  Care Compare affiliation

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

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1538562145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 W 210TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021626",
            "telephone_number": "310-977-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 W 210TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021626",
            "telephone_number": "310-977-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUA",
        "first_name": "KANE JOHN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-27",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000650",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95000650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Diagnostic Labs, LLC
• Csulb Nursing Program
• CTSH South Bay, LLC (Care To Stay Home)
• Cecilia Marleny Cua Godoy
• Carmyll Regine Dominguez Cua, FNP-C
• Sharmain Cua, NP
• Lorraine Elizabeth Cuadra
• Crystal Doregios Cuadro
• Kelli Cubillos, LMFT
• Monica Cubos, MS, BCBA

• Primary Care Nurse Practitioner in Torrance, CA
• Providers in Torrance, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.