Individual provider Active NPI

Steven Kwoh, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1588952071
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A127671 Issued in CA
Practice address
2089 Kenilworth Ave
Los Angeles, CA 90039-3005
Phone
(480) 708-8040
NPI assigned
Jul 18, 2011
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 48244 AZ
Psychiatry Physician 2084P0800X A127671 CA Primary

Addresses

Primary practice location

2089 Kenilworth Ave
Los Angeles, CA 90039-3005

Mailing address

2089 Kenilworth Ave
Los Angeles, CA 90039-3005
Phone (480) 708-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20160525001089 AZ Practitioner - Psychiatry 2466741814 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48244AZMDPsychiatry Physician
A127671CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connectionsaz, LLC CurrentSince May 1, 2016 Accepting new patients
Connectionsaz, LLC CurrentSince May 1, 2016 Accepting new patients

Locations

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

1201 S 7th Ave
Ste 150A
Phoenix, AZ 85007

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1588952071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 KENILWORTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900393005",
            "telephone_number": "480-708-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 KENILWORTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900393005",
            "telephone_number": "480-708-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOH",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "48244",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A127671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.